Individual provider Active NPI

Kye Won Lee, DDS

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1659778173
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105711 Issued in CO
Practice address
7159 E Hampden Ave
Denver, CO 80224-3013
Phone
(303) 337-5385
Fax
(303) 337-1215
NPI assigned
Nov 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105711 CO Primary

Addresses

Primary practice location

7159 E Hampden Ave
Denver, CO 80224-3013

Mailing address

7159 E Hampden Ave
Denver, CO 80224-3013
Phone (303) 337-5385

Other identifiers 1

IdentifierTypeStateIssuer
95956263MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160314000096 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062718349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105711COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kye W. Lee, D.D.S.,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.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1659778173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7159 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243013",
            "telephone_number": "303-337-5385",
            "fax_number": "303-337-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7159 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243013",
            "telephone_number": "303-337-5385",
            "fax_number": "303-337-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KYE",
        "middle_name": "WON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-26",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95956263",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.