Misook Nicole Lee, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22657 Issued in TX

Practice address

7500 N Mesa
Suite 304
El Paso, TX 79912-3512

Phone

(915) 231-9983

Fax

(915) 231-9966

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740333442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N MESA",
            "address_2": "SUITE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123512",
            "telephone_number": "915-231-9983",
            "fax_number": "915-231-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N MESA",
            "address_2": "SUITE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123512",
            "telephone_number": "915-231-9983",
            "fax_number": "915-231-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MISOOK",
        "middle_name": "NICOLE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9185811",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740333442",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hae Won Lee, MD
• Helen Mikyung Lee, D.C., L.AC.
• Janet J Lee, M.D.
• Jeanne Lee, MD
• Kyoung Lee
• Samuel Jun Lee, D.D.S.
• Samwell S. Lee, DDS
• Shawna Lee, DPT
• Tatyanna Lee
• Titus H Lee

• Orthodontics and Dentofacial Orthopedics Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.