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DR. ANTHONY KYUHYUN LEE DDS
NPI 1831207711
Dentist - General Practice in Nixa, MO

Active since August 29, 2006PECOS Enrolled
708 W MOUNT VERNON ST, NIXA, MO 65714(417) 494-5017(417) 494-5019 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony Kyuhyun Lee Dds NPPES

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

DR. ANTHONY KYUHYUN LEE DDS (NPI 1831207711) is an individual general practice provider in Nixa, Missouri, licensed in Missouri (2004013592) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ava.

NPPES Registry Identity

NPI1831207711
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANTHONY KYUHYUN LEECredential: DDS
Location Address708 W MOUNT VERNON STNixa, MO 65714
Mailing Address708 W Mount Vernon StNixa, MO 65714-9682 · (417) 494-5017 · Fax (417) 494-5019
Phone(417) 494-5017
Fax(417) 494-5019
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 17, 2018
✔ NPI 1831207711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2004013592
Definition
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.
708 W MOUNT VERNON ST, Nixa, MO 65714
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Secondary Practice Location 1

Location 1504 NW 10th Ave.ava, MO 65608 · Phone (417) 683-4831 · Fax (417) 683-1602

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

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Kyuhyun Lee Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

SMILE UP DENTAL LLC
Dentist (General Practice)
708 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 494-5017
MICHELLE DEARINGER-DAVIS DDS LLC
Dentist
708 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 494-5017
DR. KEVIN R AUSTIN KEVIN R. AUSTIN
Dentist (Orthodontics and Dentofacial Orthopedics)
708 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 725-9600

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 Anthony Lee's NPI number?

The NPI number for Anthony Lee is 1831207711. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Anthony Lee located?

Anthony Lee practices at 708 W Mount Vernon St, Nixa, MO 65714. The listed phone number is (417) 494-5017.

What is Anthony Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Anthony Lee enrolled in Medicare?

Yes. Anthony Lee is registered in the Medicare PECOS enrollment system.

What insurance does Anthony 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 Anthony 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 Anthony Lee was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.