Active NPI
Bora Lee, DMD
- Dentist
- Stoughton, MA
National Provider Identifier
1124678883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858470
- Practice address
- 341 Washington St
Stoughton, MA 02072-1737 - Phone
- (781) 850-4175
- NPI assigned
- Sep 16, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858470 | MA | Primary |
Addresses
Primary practice location
341 Washington St
Stoughton, MA 02072-1737
Mailing address
38 Priesing St Apt 1
Jamaica Plain, MA 02130-1909
Phone (617) 477-7749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191107001651 | MA | Order and Referring Only - Dentist | 3476985722 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1124678883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 PRIESING ST APT 1",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301909",
"telephone_number": "617-477-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 WASHINGTON ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020721737",
"telephone_number": "781-850-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BORA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "MA",
"license": "DN1858470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.