Myong Christine Lee, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000004502 Issued in TN

Practice address

165B Belle Forest Cir
Nashville, TN 37221-2103

Phone

(615) 662-2787

NPI assigned

Mar 28, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Warner Parks Family Dental

  • Dental Clinic/Center
  • Nashville, TN
  • NPI 1598488280
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1841251196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165B BELLE FOREST CIR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212103",
            "telephone_number": "615-662-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165B BELLE FOREST CIR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212103",
            "telephone_number": "615-662-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MYONG",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000004502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX (EMPLOYER )ID NUMBER",
            "identifier": "62-1278738",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorri Anne Lee
• Macy Christine Lee
• Mary Morgan Lee, MD
• Matthew Lee
• Mitchell Lee
• Myung Ae Lee, M.D.
• Olivia Lee
• Rebecca B Lee, LCSW
• Roland Shinhe Lee, DDS
• Ryan Patrick Lee, M.D.

• Dentist in Nashville, TN
• Providers in Nashville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.