Active NPI
Kristin Lee
- Endodontics
- Philadelphia, PA
National Provider Identifier
1003723701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS046059
- Practice address
- 3254 Red Lion Rd
Philadelphia, PA 19114-1109 - Phone
- (215) 632-1612
- NPI assigned
- Aug 26, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS046059 | PA | Primary |
Addresses
Primary practice location
3254 Red Lion Rd
Philadelphia, PA 19114-1109
Mailing address
240 S 40TH St
Philadelphia, PA 19104-6030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1003723701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 S 40TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191046030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3254 RED LION RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141109",
"telephone_number": "215-632-1612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KRISTIN",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS046059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.