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DR. CHEOLSOO LEE DDS
NPI 1336877539
Dentist in Independence, MO

Active since August 15, 2022Opted out of Medicare · through Jul 18, 2027
3908 S NOLAND RD, INDEPENDENCE, MO 64055(816) 461-2273 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Cheolsoo Lee Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHEOLSOO LEE DDS (NPI 1336877539) is an individual dentist in Independence, Missouri, licensed in Missouri (2022022940) and active in the NPI registry since August 2022. He has opted out of Medicare through July 18, 2027.

NPPES Registry Identity

NPI1336877539
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. CHEOLSOO LEECredential: DDS
Location Address3908 S NOLAND RDIndependence, MO 64055-3347
Mailing Address5314 W 121st Ter Apt 212Overland Park, KS 66209-3568 · (602) 334-9225
Phone(816) 461-2273
Sole ProprietorYes
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1336877539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2022022940
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3908 S NOLAND RD, Independence, MO 64055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Cheolsoo Lee Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2023 through July 18, 2027.

Opt-Out Effective DateJuly 18, 2023
Opt-Out In Effect ThroughJuly 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHELBY L APPLEGATE DMD
Dentist
3908 S NOLAND RD
INDEPENDENCE, MO 64055
Jackson County (816) 461-2273
DENTAL CARE INDEPENDENCE
Dentist (General Practice)
3908 S NOLAND RD
INDEPENDENCE, MO 64055
Jackson County (816) 461-2273
DR. MITCHELL RONALD HOPKINS DDS
Dentist (General Practice)
3908 S NOLAND RD
INDEPENDENCE, MO 64055
Jackson County (816) 461-2273
DR. OLIVIA SUZANNE RAUSCHENBACH DDS
Dentist (General Practice)
3908 S NOLAND RD
INDEPENDENCE, MO 64055
Jackson County (816) 461-2273
DANIEL RAMAZZOTTO DDS
Dentist (General Practice)
3908 S NOLAND RD
INDEPENDENCE, MO 64055
Jackson County (816) 461-2273
NOLAND ROAD DENTAL, LLC
Clinic/Center (Dental)
3908 S NOLAND RD
INDEPENDENCE, MO 64055
Jackson County (816) 461-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheolsoo Lee's NPI number?

The NPI number for Cheolsoo Lee is 1336877539. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Cheolsoo Lee located?

Cheolsoo Lee practices at 3908 S Noland Rd, Independence, MO 64055. The listed phone number is (816) 461-2273.

What is Cheolsoo Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Cheolsoo Lee enrolled in Medicare?

No. Cheolsoo Lee has opted out of Medicare through July 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Cheolsoo Lee accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 15 other insurers list Cheolsoo Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cheolsoo Lee was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.