Individual provider Active NPI

Stephanie Pui-Kay Lee

  • Dentist
  • Alexandria, MN
National Provider Identifier
1114284726
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13093 Issued in MN
Practice address
700 Cedar St
Suite 44
Alexandria, MN 56308-1769
Phone
(612) 385-5161
NPI assigned
Apr 19, 2012
Last updated
May 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13093 MN Primary

Addresses

Primary practice location

700 Cedar St
Suite 44
Alexandria, MN 56308-1769

Mailing address

4820 Quinwood LN N
Plymouth, MN 55442-2089
Phone (612) 385-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150514002252 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7012237043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13093MNMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1114284726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 QUINWOOD LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422089",
            "telephone_number": "612-385-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CEDAR ST",
            "address_2": "SUITE 44",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081769",
            "telephone_number": "612-385-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHANIE",
        "middle_name": "PUI-KAY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.