Individual provider Active NPI

Michael Hua-Yuen Lee, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Washington, DC
National Provider Identifier
1619255346
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
31758 Issued in TX
Practice address
915 N St SE BLDG 175
Washington, DC 20374-5162
Phone
(240) 620-1679
NPI assigned
Jul 29, 2011
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4195 ME
General Practice Dentistry 1223G0001X 31758 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401419178 VA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 4195 ME
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 31758 TX Primary

Addresses

Primary practice location

915 N St SE BLDG 175
Washington, DC 20374-5162

Mailing address

915 N St SE BLDG 175
Washington, DC 20374-5162
Phone (202) 433-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422000086 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416256631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31758TXMDOral and Maxillofacial Surgery (Dentist)
0401419178VAMDOral and Maxillofacial Surgery (Dentist)
4195MEMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1619255346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N ST SE BLDG 175",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203745162",
            "telephone_number": "202-433-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N ST SE BLDG 175",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203745162",
            "telephone_number": "240-620-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "HUA-YUEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4195",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31758",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401419178",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "ME",
            "license": "4195",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "31758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.