NPIMap

Organization Active NPI

HS Lee & Associates, LTD

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1841057965
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HS LEE & ASSOCIATES, LTD
Doing business as
Fresh Dental
Practice address
3030 N Broadway St Ste 400
Chicago, IL 60657-7472
Phone
(773) 800-2905
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Hyoseon Lee, DDSNPI 1588926802
Title
President
Phone
(773) 495-8758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3030 N Broadway St Ste 400
Chicago, IL 60657-7472

Mailing address

3030 N Broadway St Ste 400
Chicago, IL 60657-7472
Phone (773) 800-2905

Other names 1

  • Fresh Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3030 N Broadway St
Ste 400
Chicago, IL 60657
Phone (773) 800-2905

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1841057965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N BROADWAY ST STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577472",
            "telephone_number": "773-800-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N BROADWAY ST STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577472",
            "telephone_number": "773-800-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HS LEE & ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYOSEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-495-8758",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.