Active NPI
Hye Jin Lee, D.M.D.
- General Practice Dentistry
- Philadelphia, PA
National Provider Identifier
1538414388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS039124
- Practice address
- 600 W Olney Ave
Philadelphia, PA 19120-2220 - Phone
- (215) 549-6868
- Fax
- (215) 799-0251
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS039124 | PA | Primary |
Addresses
Primary practice location
600 W Olney Ave
Philadelphia, PA 19120-2220
Mailing address
401 Commerce Dr
Suite #108
Ft Washington, PA 19034-2714
Phone (267) 460-4254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039124 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Family Dentistry P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1235297508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1538414388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 COMMERCE DR",
"address_2": "SUITE #108",
"city": "FT WASHINGTON",
"state": "PA",
"postal_code": "190342714",
"telephone_number": "267-460-4254",
"fax_number": "215-646-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W OLNEY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202220",
"telephone_number": "215-549-6868",
"fax_number": "215-799-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HYE",
"middle_name": "JIN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS039124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.