Kwangho Lee, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00010062 Issued in WA

Practice address

4215 198TH St SW Ste 205
Lynnwood, WA 98036-6738

Phone

(425) 775-1800

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kenny KH Lee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1710186630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 198TH ST SW STE 205",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366738",
            "telephone_number": "425-775-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 198TH ST SW STE 205",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366738",
            "telephone_number": "425-775-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KWANGHO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00010062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNY",
            "last_name": "LEE",
            "middle_name": "KH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jiyeon Lee
• Julie Savina Lee, MD
• Jung Lee, PHARMD
• Jung Lee
• Justin Lee, D.C.
• Kyunghee Lee
• Lawrence Jungho Lee, M.D.
• Lois Agatha Lee, D.D.S
• Matthew Lee, BCBA
• Pascal Chih-Chao Lee, D.D.S.

• Periodontics in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.