Heeje Lee, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

25602 Issued in TX

Practice address

225 E State Highway 121
Suite #117
Coppell, TX 75019-2005

Phone

(972) 315-0811

Fax

(972) 315-0891

NPI assigned

Oct 19, 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

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Evergreen Dental P a

  • General Practice Dentistry
  • Coppell, TX
  • NPI 1871876680
  NPD (past) Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1730378381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E. STATE HWY 121",
            "address_2": "SUITE #117",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192008",
            "telephone_number": "972-315-0811",
            "fax_number": "972-315-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E STATE HIGHWAY 121",
            "address_2": "SUITE #117",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192005",
            "telephone_number": "972-315-0811",
            "fax_number": "972-315-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HEEJE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "25602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kae Abigail Leal Scallan
• Peter V Lecca, DDS
• Lexie Ledbetter
• Madeleine Lederer, OTR/L
• Hea Lee
• Jaebum Lee, DDS, MSD, PHD
• Jason Lee
• John S Lee, DMD, MS
• Junesuk Lee, DC
• Junhak Lee

• Prosthodontics in Coppell, TX
• Providers in Coppell, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.