Steven Myoung-Suk Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28637 Issued in TX

Practice address

1609 N. Conway Ave
W. David Egger DDS PA
Mission, TX 78572

Phone

(956) 519-9398

Fax

(956) 519-7166

NPI assigned

Feb 7, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Identist, PLLC

  • General Practice Dentistry
  • McAllen, TX
  • NPI 1679358345
  NPD Authorized official
• W. David Egger, DDS, PA

  • General Practice Dentistry
  • Mission, TX
  • NPI 1023152261
  NPD (past)

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1992044176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 N. CYNTHIA ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-369-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N. CONWAY AVE",
            "address_2": "W. DAVID EGGER DDS PA",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-519-9398",
            "fax_number": "956-519-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEVEN",
        "middle_name": "MYOUNG-SUK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3112708-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Larson
• Lay Hands Massage Therapy, LLC
• Bella L Leal-Garza, MA CCC SLP
• Blanca Isela Leal, SLP
• Richard M. M. Lee
• Legacy Valley Hospice Care LLC
• Lise Ellen Lehoux, OTR
• Katherine Mary Leidner, RN
• Liza Martinez Lensico, NP-C
• Letdin Pharmacy

• General Practice Dentistry in Mission, TX
• Providers in Mission, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.