Individual provider Active NPI

Hui-Jin Lee, D.D.S., M.S.D.

  • Periodontics
  • Broadview Heights, OH
National Provider Identifier
1811032444
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
19930 Issued in OH
Practice address
1000 W Wallings Rd
Suite B
Broadview Heights, OH 44147-1200
Phone
(440) 546-1116
Fax
(440) 546-0111
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 19930 OH Primary

Addresses

Primary practice location

1000 W Wallings Rd
Suite B
Broadview Heights, OH 44147-1200

Mailing address

1000 W Wallings Rd
Suite B
Broadview Heights, OH 44147-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20150225001552 OH Order and Referring Only - DentistPractitioner - Dentist 3072839679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19930OHMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Endodontics & Periodontics Past Accepting new patients

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811032444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W WALLINGS RD",
            "address_2": "SUITE B",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WALLINGS RD",
            "address_2": "SUITE B",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471200",
            "telephone_number": "440-546-1116",
            "fax_number": "440-546-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HUI-JIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "19930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.