Cyrus Jeh Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8702 Issued in OR

Practice address

19075 NW Tanasbourne Drive
Suite 300 Kaiser Permanente Dental Office
Hillsboro, OR 97124-0000

Phone

(503) 531-1700

Fax

(503) 531-1704

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1952377483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 NE 60TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247293",
            "telephone_number": "503-419-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19075 NW TANASBOURNE DRIVE",
            "address_2": "SUITE 300 KAISER PERMANENTE DENTAL OFFICE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971240000",
            "telephone_number": "503-531-1700",
            "fax_number": "503-531-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CYRUS",
        "middle_name": "JEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009493",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantel Lee Lederbrand, DC
• Ashley Lee
• Bryant Lee
• Celina Lee, DMD
• Chris C Lee, MD
• Da Young Lee, DDS
• John Lee
• Jonathon Lee, PT
• June A Lee, M.D.
• Jungin Elizabeth Lee, RN

• General Practice Dentistry in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.