Chris Joon Lee, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DE60389882 Issued in WA

Practice address

12644 164TH Ave SE
Renton, WA 98059-6403

Phone

(425) 282-4182

Fax

(425) 572-6072

NPI assigned

Jan 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 23, 2015 through Nov 23, 2027

Medicare enrollment (NPD)

Not 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.

• Crystal Dental Inc.

  • General Practice Dentistry
  • Renton, WA
  • NPI 1184047466
  NPD (past) Authorized official
• M. Cho, DDS, PLLC

  • Dental Clinic/Center
  • Renton, WA
  • NPI 1689166084
  NPD (past)

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1962824730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12644 164TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980596403",
            "telephone_number": "425-282-4182",
            "fax_number": "425-572-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12644 164TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980596403",
            "telephone_number": "425-282-4182",
            "fax_number": "425-572-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRIS",
        "middle_name": "JOON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60389882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrey Lee, RD
• Aimee Lynn Lee, CL
• Ashley Ann Lee, ARNP
• Austin Lee
• Chang-Jui Lee, D.C
• Hannah Yu-Ri Lee
• Julie Lee
• Katherine Yoonah Lee, DO
• Kyung E Lee, DDS
• Kyung Min Lee, MD

• Dentist in Renton, WA
• Providers in Renton, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.