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

Q: 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.

Q: What is Anthony Lee's specialty?

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

Q: 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 8 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.

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: November 01, 2026.

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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

Open in Google Maps ↗

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 BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Special Care Dental Of Missouri LLC

150 mi

Dentist

11111 NALL AVE, SUITE 100
Leawood, KS 66211

Reassigned Medicare billing, Missouri enrollment
8 clinicians in this Medicare group

NPI 1790127512 (502) 244-2441

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Anthony Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Lee reassigns Medicare benefits to Special Care Dental Of Missouri LLC (Leawood, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Lee accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 6 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 8 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.