Active NPI
Ho Young Lee, D.D.S.
- General Practice Dentistry
- Maple Grove, MN
National Provider Identifier
1770629438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D12317
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932361474 | Other | MN | GROUP 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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Lee Dental Clinic, P.C. | General Practice | Current | 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.
-
- General Practice Dentistry
- Maple Grove, MN
- NPI 1932361474
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.