Andy Jeonghun Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2682 Issued in HI

Practice address

98-1005 Moanalua Rd SPC 2000
Aiea, HI 96701-4700

Phone

(626) 233-3958

NPI assigned

Aug 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Sunrise Dental Inc

  • Dentist
  • Aiea, HI
  • NPI 1083496434
  NPD Authorized official
• Texas Dental Health Professionals, P.C.

  dba MyDentist-Weatherford TX

  • General Practice Dentistry
  • Weatherford, TX
  • NPI 1902226889
  NPD (past)

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1912255803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 WAIMANU ST APT 609",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 2000",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014700",
            "telephone_number": "626-233-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDY",
        "middle_name": "JEONGHUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61756",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28824",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "2682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Le
• Ky H Le, MD
• Si Dung Le, D.C.
• Faith Y Lebb, MSW LCSW
• Julie-Ann Hee Lee-Horita, M.D.
• Andy PO-Chang Lee, MD
• Cameron Y Lee, DMD
• Darrell Jun Lee, MD
• Franklin C.H. Lee, M.D.
• Jessica Lee, LMFT, CSAC

• General Practice Dentistry in Aiea, HI
• Providers in Aiea, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.