Michael Lee, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901021502 Issued in MI

Practice address

12400 E 40 Hwy
Independence, MO 64055-5929

Phone

(816) 897-5850

NPI assigned

May 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• South Independence Dental LLC

  • Dentist
  • Independence, MO
  • NPI 1245842202
  NPD Authorized official
• Summit Oral Surgery Center LLC

  dba Independence Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Independence, MO
  • NPI 1114868957
  NPD Authorized official
• Summit Oral Surgery Center LLC

  dba Independence Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Independence, MO
  • NPI 1437083615
  NPD Authorized official

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1174902654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 E 40 HWY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 E 40 HWY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555929",
            "telephone_number": "816-897-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Conner St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482133448",
            "country_code": "US",
            "telephone_number": "313-571-2648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Lee
• Charles Lee, DDS
• Cheolsoo Lee, DDS
• James Edward Lee
• Katherine Suzanne Lee, MD
• Legacy Care Solutions Home Health LLC
• Larry Edward Legler, FAAFP
• Caleb Legrand
• Joel Martin Leibsohn, MD
• Kalie Leinenbach, DNP, FNP-C

• Dentist in Independence, MO
• Providers in Independence, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.