Seungbum Lee, DMD, MSD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DE00010358 Issued in WA

Practice address

1815 S 324TH PL
Federal Way, WA 98003-8505

Phone

(253) 838-3180

Fax

(253) 838-2513

NPI assigned

Jan 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Seungbum Lee, DMD, MSD, PLLC

  • Dental Clinic/Center
  • Federal Way, WA
  • NPI 1033051511
  NPD Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992859482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S 324TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038505",
            "telephone_number": "253-838-3180",
            "fax_number": "253-838-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S 324TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038505",
            "telephone_number": "253-838-3180",
            "fax_number": "253-838-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEUNGBUM",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE00010358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Ko Lee, DDS
• Kwan Moo Lee, DDS
• Laura H Lee, O.D.
• Peter Young Lee, DPT
• Rhiannon Lee, CCC-SLP
• Sooha Lee, ND
• Thao D Lee, PHARMD
• Wonyoung Lee, LMHC
• Yaeeun G Lee
• Young H. Lee, MD

• Prosthodontics in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Prosthodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.