Individual provider Active NPI

Ho Young Lee, D.D.S.

  • General Practice Dentistry
  • Maple Grove, MN
National Provider Identifier
1770629438
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12317 Issued in MN
Practice address
6240 Quinwood LN N Ste 102
Maple Grove, MN 55369-6384
Phone
(763) 391-7522
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12317 MN Primary

Addresses

Primary practice location

6240 Quinwood LN N Ste 102
Maple Grove, MN 55369-6384

Mailing address

6240 Quinwood LN N Ste 102
Maple Grove, MN 55369-6384
Phone (763) 391-7522

Other practice location 1

7767 Elm Creek Blvd N Ste 160
Maple Grove, MN 55369-7078
Phone (763) 391-7522

Other identifiers 1

IdentifierTypeStateIssuer
1932361474OtherMNGROUP TYPE II NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Lee Dental Clinic, P.C. General Practice CurrentSince Jul 28, 2019 Accepting new patients

Locations

6240 Quinwood Ln N
Ste 102
Maple Grove, MN 55369
Phone (763) 391-7522

7767 Elm Creek Blvd N
Ste 160
Maple Grove, MN 55369
Phone (763) 391-7522

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1770629438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 QUINWOOD LN N STE 102",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696384",
            "telephone_number": "763-391-7522",
            "fax_number": "763-391-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 QUINWOOD LN N STE 102",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696384",
            "telephone_number": "763-391-7522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7767 Elm Creek Blvd N Ste 160",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697078",
            "country_code": "US",
            "telephone_number": "763-391-7522",
            "fax_number": "763-391-6574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "HO",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TYPE II NPI",
            "identifier": "1932361474",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.