Anabelle Moeun Lee, DMD, MPH

Primary specialty

DentistTaxonomy code 122300000X

License

060783 Issued in NY

Practice address

164 W 96TH St
New York, NY 10025-6402

Phone

(212) 998-9800

NPI assigned

Apr 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anabelle Moeun Chun 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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1720575020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 10TH AVE APT 45A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363060",
            "telephone_number": "909-331-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 96TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256402",
            "telephone_number": "212-998-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANABELLE",
        "middle_name": "MOEUN",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANABELLE",
            "last_name": "CHUN",
            "middle_name": "MOEUN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Lee
• Amy Lee, OD
• Amy Jun Lei Lee, FNP
• Amy Mai-Yan Lee, O.D.
• Amy Yoonjin Lee, MD
• Andrew Lee, LCSW
• Andrew Lee
• Andrew Lee, MD
• Andrew C Lee, MD
• Andrew Daehyung Lee

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.