Active NPI
Chaehwan Lee
- Endodontics
- Sherman Oaks, CA
National Provider Identifier
1699535427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 39413
- Practice address
- 14242 Burbank Blvd Apt 304
Sherman Oaks, CA 91401-4965 - Phone
- (310) 502-0073
- NPI assigned
- Mar 20, 2024
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 39413 | TX | Primary |
Addresses
Primary practice location
14242 Burbank Blvd Apt 304
Sherman Oaks, CA 91401-4965
Mailing address
14242 Burbank Blvd Apt 304
Sherman Oaks, CA 91401-4965
Phone (310) 502-0073
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 |
|---|---|---|---|
| 39413 | TX | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1699535427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14242 BURBANK BLVD APT 304",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914014965",
"telephone_number": "310-502-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14242 BURBANK BLVD APT 304",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914014965",
"telephone_number": "310-502-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHAEHWAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "39413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.