Yun Dok Kyung-Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7174 Issued in OR

Practice address

1933 SW Jefferson St
Portland, OR 97201-2405

Phone

(503) 273-8240

Fax

(503) 228-4944

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Yun Dok Kyung Former name

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

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1982750055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 NW PINNACLE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972298000",
            "telephone_number": "503-407-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 SW JEFFERSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012405",
            "telephone_number": "503-273-8240",
            "fax_number": "503-228-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYUNG-LEE",
        "first_name": "YUN",
        "middle_name": "DOK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUN",
            "last_name": "KYUNG",
            "middle_name": "DOK",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kate Kyle, DC
• Hillary Kyler
• James P Kyser, MD
• Anna Kytonen
• Melissa Kytonen
• KZ Clinical Consulting LLC
• L'Arche Portland
• Nicole La Baw
• Bryony Rose La Flamme, RELIEF T.C
• David Eric La France

• General Practice Dentistry in Portland, OR
• Providers in Portland, 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 Mar 9, 2016; 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.