Individual provider Active NPI

Kuanghan George Lee, DDS

  • Dentist
  • Scarsdale, NY
National Provider Identifier
1942402730
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48213 Issued in NY
Practice address
800 Central Park Ave Ste 203
Scarsdale, NY 10583-2589
Phone
(914) 472-9001
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20426 NJ
Dentist 122300000X 48213 NY Primary

Addresses

Primary practice location

800 Central Park Ave Ste 203
Scarsdale, NY 10583-2589

Mailing address

10 Dunwoodie St
Scarsdale, NY 10583-5411
Phone (914) 472-9001

Other practice location 1

10 Dunwoodie St
Scarsdale, NY 10583-5411
Phone (914) 472-9001

Other practice location 2

161 Madison Ave Rm 7Nw
New York, NY 10016-5449
Phone (914) 472-9001

Other names 1

  • Dr. George Lee Professional name

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

LicenseStateTypeSpecialty
48213NYMDDentist
20426NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Dental, P.C. Dentist CurrentSince Nov 20, 2022 Accepting new patients
Diamond Dental, P.C. General Practice CurrentSince Nov 20, 2022 Accepting new patients

Locations

161 Madison Ave
Rm 7NW
New York, NY 10016
Phone (212) 481-3636

10 Dunwoodie St
Scarsdale, NY 10583
Phone (914) 472-9001

800 Central Park Ave
Ste 203
Scarsdale, NY 10583
Phone (914) 472-9001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1942402730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DUNWOODIE ST",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835411",
            "telephone_number": "914-472-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CENTRAL PARK AVE STE 203",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105832589",
            "telephone_number": "914-472-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Dunwoodie St",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105835411",
            "country_code": "US",
            "telephone_number": "914-472-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Madison Ave Rm 7Nw",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165449",
            "country_code": "US",
            "telephone_number": "914-472-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KUANGHAN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "20426",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "48213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.