Individual provider Active NPI

Alexander Lee, DMD

  • General Practice Dentistry
  • Tigard, OR
National Provider Identifier
1134955958
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12081 Issued in OR
Practice address
11960 SW Pacific Hwy
Tigard, OR 97223-6439
Phone
(503) 670-7088
NPI assigned
Sep 9, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12081 OR Primary

Addresses

Primary practice location

11960 SW Pacific Hwy
Tigard, OR 97223-6439

Mailing address

18186 S Grasle Rd
Oregon City, OR 97045-8058
Phone (503) 939-1277

Other practice location 1

1499 SE 1st Ave Ste 101
Canby, OR 97013-6772
Phone (503) 263-1234

Other names 1

  • Dr. Alex Lee Other name

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
D12081ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tigard Tendercare PC PastSince Sep 15, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1134955958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18186 S GRASLE RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458058",
            "telephone_number": "503-939-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236439",
            "telephone_number": "503-670-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1499 SE 1st Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "OR",
            "postal_code": "970136772",
            "country_code": "US",
            "telephone_number": "503-263-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D12081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.