Individual provider Active NPI

Daniel Jay Lee, D.M.D.

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1134527781
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414708 Issued in VA
Practice address
5500 Holmes Run Pkwy Ste C3
Alexandria, VA 22304-2860
Phone
(703) 401-9766
NPI assigned
Dec 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15762 MD
General Practice Dentistry 1223G0001X 0401414708 VA Primary

Addresses

Primary practice location

5500 Holmes Run Pkwy Ste C3
Alexandria, VA 22304-2860

Mailing address

5500 Holmes Run Pkwy Ste C3
Alexandria, VA 22304-2860
Phone (703) 401-9766

Other practice location 1

809 E Swan Creek Rd
Fort Washington, MD 20744-5249
Phone (301) 292-5800

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
15762MDMDSocial Worker
0401414708VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dong S Lee DDS PA General Practice Past Accepting new patients
Lee Family I LLC Past 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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1134527781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 HOLMES RUN PKWY STE C3",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042860",
            "telephone_number": "703-401-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 HOLMES RUN PKWY STE C3",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042860",
            "telephone_number": "703-401-9766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 E Swan Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207445249",
            "country_code": "US",
            "telephone_number": "301-292-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANIEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15762",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.