Individual provider Active NPI

Juei Lee, DMD

  • Pediatric Dentistry
  • Naperville, IL
National Provider Identifier
1164839213
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
019.032345 Issued in IL
Practice address
111 Spring Ave
Naperville, IL 60540-4578
Phone
(781) 752-6427
NPI assigned
Jul 21, 2014
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 019.032345 IL Primary

Addresses

Primary practice location

111 Spring Ave
Naperville, IL 60540-4578

Mailing address

111 Spring Ave
Naperville, IL 60540-4578
Phone (781) 752-6427

Other practice location 1

30 Prospect St
Cambridge, MA 02139-2401
Phone (617) 576-5300

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
019.032345ILMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Juei Lee DMD PLLC CurrentSince Mar 28, 2021 Accepting new patients
Ace Dental Cambridge PLLC PastSince May 19, 2024 Accepting new patients
Prospect Dental Group, L.L.C. Past Accepting new patients

Organizations & group practices 3

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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1164839213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SPRING AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404578",
            "telephone_number": "781-752-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SPRING AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404578",
            "telephone_number": "781-752-6427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021392401",
            "country_code": "US",
            "telephone_number": "617-576-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUEI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019.032345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.