Active NPI
Wendy Lee
- Dental Hygienist
- Fort Knox, KY
National Provider Identifier
1134675689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 3648
- Practice address
- 289 Ireland Ave
Hospital Dental Clinic BLDG 851
Fort Knox, KY 40121-5111 - Phone
- (502) 624-9670
- Fax
- (502) 624-9778
- NPI assigned
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3648 | KY | Primary |
Addresses
Primary practice location
289 Ireland Ave
Hospital Dental Clinic BLDG 851
Fort Knox, KY 40121-5111
Mailing address
398 192ND Armor Tank Battalion Rd
USA Dentac HQS BLDG 1022
Fort Knox, KY 40121-5116
Phone (502) 624-6158
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3648 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1134675689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 192ND ARMOR TANK BATTALION RD",
"address_2": "USA DENTAC HQS BLDG 1022",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401215116",
"telephone_number": "502-624-6158",
"fax_number": "502-624-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 IRELAND AVE",
"address_2": "HOSPITAL DENTAL CLINIC BLDG 851",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401215111",
"telephone_number": "502-624-9670",
"fax_number": "502-624-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "WENDY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "KY",
"license": "3648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Knox, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.