Active NPI
Jennifer Lee, DMD
- Dentist
- Peabody, MA
National Provider Identifier
1164715041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1855379
- Practice address
- 215 Newbury St
Suite 201
Peabody, MA 01960-2414 - Phone
- (978) 535-3800
- Fax
- (978) 535-1718
- NPI assigned
- May 25, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1855379 | MA | Primary |
Addresses
Primary practice location
215 Newbury St
Suite 201
Peabody, MA 01960-2414
Mailing address
150 Brookline Ave
Unit 206
Boston, MA 02215-3930
Phone (617) 913-8174
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 |
|---|---|---|---|
| DN1855379 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1164715041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BROOKLINE AVE",
"address_2": "UNIT 206",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153930",
"telephone_number": "617-913-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 NEWBURY ST",
"address_2": "SUITE 201",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602414",
"telephone_number": "978-535-3800",
"fax_number": "978-535-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1855379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.