Hyunji Lee

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013262A Issued in IN

Practice address

330 N Jacob Dr
Bloomington, IN 47404-4823

Phone

(812) 323-7400

NPI assigned

Aug 26, 2019

Last updated

Sep 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LK Dental, LLC

  • General Practice Dentistry
  • Bloomington, IN
  • NPI 1902656556
  NPD
• CS Dental LLC

  • General Practice Dentistry
  • Bloomington, IN
  • NPI 1225330582
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1588212310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S WALNUT STREET PIKE APT B320",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018970",
            "telephone_number": "215-687-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N JACOB DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474044823",
            "telephone_number": "812-323-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYUNJI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013262A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Lee
• Carolyn Louise Lee, PH.D., ABPP
• Cindy Lee, PHARMD
• Daewoong Lee, M.D.
• David Yoon Lee, MD
• Ivy M Lee, MD
• John Lee
• John Austin Lee, MD
• Judith Lee, BCBA
• Luna Lee

• General Practice Dentistry in Bloomington, IN
• Providers in Bloomington, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.