Individual provider Active NPI

Jaden Sophien Lee, DMD, MS, PHD

  • Periodontics
  • Raleigh, NC
National Provider Identifier
1114607900
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
14675 Issued in NC
Practice address
10931 Strickland Rd Ste 101
Raleigh, NC 27615-2085
Phone
(919) 844-7140
NPI assigned
Jul 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 14675 NC Primary

Addresses

Primary practice location

10931 Strickland Rd Ste 101
Raleigh, NC 27615-2085

Mailing address

10931 Strickland Rd Ste 101
Raleigh, NC 27615-2085

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2901601820MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stella and Associates PA PastSince Jun 18, 2023 Accepting new patients
Michael C. Kretchmer DDS, Ms, PA I Periodontics PastSince Jun 15, 2025 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1114607900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 STRICKLAND RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 STRICKLAND RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152085",
            "telephone_number": "919-844-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JADEN",
        "middle_name": "SOPHIEN",
        "name_prefix": "Dr.",
        "credential": "DMD, MS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "14675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.