Jungwoo Lee

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

D008679 Issued in AZ

Legal business name

JUNGWOO LEE

Practice address

7545 W Bell Rd
Suite 105
Peoria, AZ 85382-3832

Phone

(480) 233-2003

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Jungwoo Lee, DDS

Title

Owner

Phone

(480) 233-2003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dental Express Doing business as

Locations

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1760833958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 W BELL RD",
            "address_2": "SUITE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823832",
            "telephone_number": "480-233-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 W BELL RD",
            "address_2": "SUITE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823832",
            "telephone_number": "480-233-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNGWOO LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNGWOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-233-2003",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "D008679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134238",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Weber Joyner, PT, DPT
• Katharine Juarez
• Andrew Jubala, PHARMD
• Jodi L Judge, DC DACNB CCN
• Kristin Lee Juhas, MOT, OTR/L
• Jupiter Medical Services LLC
• Michelle Elizabeth Juslin
• Sylvia Ann Justiss, PTA
• Darian Kaar, DDS, MSD
• Meghann Marie Kahabka

• Preferred Provider Organization in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.