Ju-Young Lee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6195 Issued in AZ

Practice address

5501 N 19TH Ave Ste 206
Phoenix, AZ 85015-2452

Phone

(602) 249-4465

Fax

(602) 249-4405

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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 CA

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

Locations

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.

• Ju Young Lee DDS Inc

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1407380025
  Medicare reassignment NPD
• E Dental PLLC

  • Dentist
  • Phoenix, AZ
  • NPI 1043634561
  NPD (past) Authorized official
• Ju Young Lee DDS Inc

  • Dentist
  • Anaheim, CA
  • NPI 1235663840
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1861402737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152452",
            "telephone_number": "602-249-4465",
            "fax_number": "602-249-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152452",
            "telephone_number": "602-249-4465",
            "fax_number": "602-249-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JU-YOUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897689",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica T Lee, LMSW
• Jinah Lee, D.D.S.
• John J Lee, D.O.
• Joshua Kameron Lee, PA-C
• Ju Won Lee
• Judson S Lee, DC
• Julie Lee
• Justin H Lee, MD
• Karina Lee, BCBA
• Kashawn Lee

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.