Hyung Jin Lee

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101651 Issued in CA

Practice address

35900 Bob Hope Dr Ste 110
Rancho Mirage, CA 92270-1765

Phone

(760) 770-4033

NPI assigned

Aug 9, 2017

Sex

Male

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

Enrolled in CA2 enrollments

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 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Lee & Byeoun, DDS, Inc.

  • Dental Clinic/Center
  • Rancho Mirage, CA
  • NPI 1073267498

  5890181598

  Same PAC ID

Specialty

Dentist

Education

Loma Linda University School of Dentistry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Lee & Byeoun, DDS, Inc.

  • Dental Clinic/Center
  • Rancho Mirage, CA
  • NPI 1073267498
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1669997763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24214 KHAN DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DR STE 110",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701765",
            "telephone_number": "760-770-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYUNG JIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon S Lee, PHARM. D
• Charles Lee, MD
• Daniel Yao-Cheng Lee, MD
• Deborah Marie Lee, LMFT
• George Oswald Lee, MD
• Jason Hesung Lee, MD
• John J Lee, M.D.
• Kevin Keunwoong Lee, M.D.
• Stephanie H Lee
• Sylvia Lee

• General Practice Dentistry in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.