Active NPI
Peter Joung Hoon Lee, DDS
- General Practice Dentistry
- Bethesda, MD
National Provider Identifier
1689160921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16424
- Practice address
- 8901 Wisconsin Ave FL 2
Bethesda, MD 20889-0004 - Phone
- (301) 400-2060
- NPI assigned
- Jul 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16424 | MD | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave FL 2
Bethesda, MD 20889-0004
Mailing address
4900 Gosnold Ave
Norfolk, VA 23508-2110
Phone (433) 514-6020
Other practice location 1
USS Kearsarge (LHD 3)
Fpo, AE 09534
Phone (757) 443-8382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16424 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1689160921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 GOSNOLD AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235082110",
"telephone_number": "433-514-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE FL 2",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890004",
"telephone_number": "301-400-2060"
}
],
"practiceLocations": [
{
"address_1": "USS Kearsarge (LHD 3)",
"address_purpose": "LOCATION",
"city": "FPO",
"state": "AE",
"postal_code": "09534",
"country_code": "US",
"telephone_number": "757-443-8382",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "LEE",
"first_name": "PETER",
"middle_name": "JOUNG HOON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-10",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "16424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.