Jiyeon Lee

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61313136 Issued in WA

Practice address

16108 Ash Way Ste 202
Lynnwood, WA 98087-8781

Phone

(201) 871-3555

NPI assigned

Mar 7, 2022

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Englewood Dental, PA

  • General Practice Dentistry
  • Englewood, NJ
  • NPI 1417017146
  NPD (past)
• Englewood Dental, PA

  • General Practice Dentistry
  • Englewood, NJ
  • NPI 1891715330
  NPD (past)

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1588311856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE STE 200",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314109",
            "telephone_number": "201-871-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16108 ASH WAY STE 202",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878781",
            "telephone_number": "201-871-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JIYEON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "61313136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588311856",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hyeyoung Lee
• Hyunjoo Lee, RPH
• Janelle Jacques Lee
• Jennifer Lee, MSW
• Jin U Lee, DPD
• Julie Savina Lee, MD
• Jung Lee, PHARMD
• Jung Lee
• Justin Lee, D.C.
• Kwangho Lee, DDS

• General Practice Dentistry in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.