Active NPI
Junsup Lee, DDS
- Dentist
- Huntsville, AL
National Provider Identifier
1861987182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6541
- Practice address
- 4240 Balmoral Dr SW Ste 200
Huntsville, AL 35801-5633 - Phone
- (256) 348-5085
- NPI assigned
- Jun 28, 2018
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6541 | AL | Primary |
Addresses
Primary practice location
4240 Balmoral Dr SW Ste 200
Huntsville, AL 35801-5633
Mailing address
4240 Balmoral Dr SW Ste 200
Huntsville, AL 35801-5633
Phone (256) 348-5085
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6541 | AL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1861987182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 BALMORAL DR SW STE 200",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015633",
"telephone_number": "256-348-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 BALMORAL DR SW STE 200",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015633",
"telephone_number": "256-348-5085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JUNSUP",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-28",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "6541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.