DR. KWANG MYUNG SIMON LEE (NPI# 1336125442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336125442 |
| Entity Type | Individual |
| Full Name | DR. KWANG MYUNG SIMON LEE |
| Credential | DMD |
| Practice Address |
725 Kapiolani Blvd Suite C-305 Honolulu HI 96813-6012 |
| Mailing Address |
400 Hobron Ln #3402 Honolulu HI 96815-1226 |
| Practice Telephone | 8085930078 |
| Mailing Telephone | 8083860858 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2008-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DT-2275 | HI | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS030250L | PA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
53341 | CA | Dental Providers |
| Street Address |
725 KAPIOLANI BLVD SUITE C-305 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447703517 | Antonella Zappador | Massage Therapist | 725 Kapiolani Blvd, Suite C103, Honolulu, HI 96813-6012 | 2016-07-26 |
| 1336592088 | Martin Giesselmann | Massage Therapist | 725 Kapiolani Blvd, Suite C103, Honolulu, HI 96813-6012 | 2016-07-18 |
| 1003273152 | Lauren Marie Eudoxie | Speech-Language Pathologist | 725 Kapiolani Blvd, Honolulu, HI 96813-6012 | 2016-01-20 |
| 1316312390 | Zhanna Conrad | Physical Therapist | 725 Kapiolani Blvd, Suite C103, Honolulu, HI 96813-6012 | 2015-12-02 |
| 1629467808 | Todd Tasaki | Dentist | 725 Kapiolani Blvd, Suite C-102, Honolulu, HI 96813-6012 | 2015-01-12 |
| 1790184216 | Kimberlee Gaye Cayzer | Speech-Language Pathologist | 725 Kapiolani Blvd, Honolulu, HI 96813-6012 | 2014-08-20 |
| 1861811903 | Amy Heitman | Occupational Therapist | 725 Kapiolani Blvd, Suite C-103, Honolulu, HI 96813-6012 | 2014-04-15 |
| 1598100075 | Julia E Tallent | Occupational Therapist | 725 Kapiolani Blvd, Suite C124, Honolulu, HI 96813-6012 | 2013-05-09 |
| 1215372792 | Susan Carol Cortes | Physical Therapist | 725 Kapiolani Blvd, Suite C124, Honolulu, HI 96813-6012 | 2013-05-09 |
| 1275804429 | Kathryn Anne Shawhan | Occupational Therapist | 725 Kapiolani Blvd, C124, Honolulu, HI 96813-6012 | 2012-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659862977 | Leilani C. Curameng Dmd LLC | Dentist | 677 Ala Moana Blvd Ste 304, Honolulu, HI 96813-5415 | 2018-05-22 |
| 1164925764 | Christopher Thuc Wu Jr. | Dentist | Queen's Medical Center- Dental Clinic, 1301 Punchbowl St, Honolulu, HI 96813 | 2018-03-10 |
| 1821516097 | Bryson Chang | Dentist | 3270 Waialae Ave, Honolulu, HI 96816-5836 | 2017-09-07 |
| 1114442217 | Yunah Park | Dentist | 500 Ala Moana Boulevard, Seven Waterfront Plaza, #220, Honolulu, HI 96813 | 2017-08-09 |
| 1578934857 | Stuart Ueda, D.m.d. | Dentist | 738 Kaheka St Ste 205, Honolulu, HI 96814-3726 | 2015-10-13 |
| 1780050112 | Kentaro Matsumoto | Dentist | 1010 S King St Ste 206, Honolulu, HI 96814-1703 | 2015-08-20 |
| 1386050508 | Century Dental, LLC | Dentist | 1188 Bishop St Ste 3508, Honolulu, HI 96813-3314 | 2014-07-08 |
| 1649610403 | Elsa F Mueller | Dentist | 1737 Nalulu Pl, Honolulu, HI 96821-1338 | 2013-06-26 |
| 1053757807 | Salt Lake Family Dentistry | Dentist | 905 C Makahiki Way, Honolulu, HI 96826 | 2013-05-21 |
| 1790121739 | Salt Lake Family Dentistry | Dentist | 848 Ala Lilikoi St Ste 112, Honolulu, HI 96818-2109 | 2013-05-16 |
| Find all providers in HONOLULU | ||||
Please comment or provide details below to improve the information on DR. KWANG MYUNG SIMON LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.