Individual provider Active NPI

Ashley Lee

  • Pediatric Dentistry
  • Eugene, OR
National Provider Identifier
1053097055
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D11671 Issued in OR
Practice address
1600 Executive Pkwy Ste 350
Eugene, OR 97401-7110
Phone
(541) 485-0175
NPI assigned
Jun 23, 2023
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D11671 OR Primary

Addresses

Primary practice location

1600 Executive Pkwy Ste 350
Eugene, OR 97401-7110

Mailing address

3590 Goodpasture Loop Apt 101
Eugene, OR 97401-1625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D11671ORMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian & Larina Chu DDS Inc Pediatric Dentistry PastSince Jun 1, 2023 Accepting new patients
Dennis M Dunne DDS PC Pediatric Dentistry PastSince Feb 23, 2020 Accepting new patients
Brian Chu, D.D.S., Inc. Pediatric Dentistry PastSince Jun 1, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1053097055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 GOODPASTURE LOOP APT 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 EXECUTIVE PKWY STE 350",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017110",
            "telephone_number": "541-485-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D11671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.