Miranda Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417334 Issued in VA

Practice address

367 Independence Blvd
Virginia Beach, VA 23462-2822

Phone

(757) 962-7000

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ideal Smiles Family & Cosmetic Dentistry

  • Dental Clinic/Center
  • Virginia Beach, VA
  • NPI 1508403155
  NPD
• Ideal Smiles Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1366865248
  NPD (past)
• Shabana Zahir DMD & Associates PLLC

  dba Cedar Road Dental

  • Dental Clinic/Center
  • Chesapeake, VA
  • NPI 1821634817
  NPD (past)
• Shabana Zahir DMD & Associates PLLC

  dba Cedar Road Dental

  • Dentist
  • Chesapeake, VA
  • NPI 1871050807
  NPD (past)
• Smyrna Modern Dentistry, PC

  dba Smyrna Modern Dentistry

  • Dentist
  • Smyrna, TN
  • NPI 1669840211
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1194346445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622822",
            "telephone_number": "757-962-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622822",
            "telephone_number": "757-962-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Movie Row",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676532",
            "country_code": "US",
            "telephone_number": "615-930-9606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "University Of Tennessee 920 Madison Avenue Suite 447",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381630001",
            "country_code": "US",
            "telephone_number": "615-324-9676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Cedar Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233225527",
            "country_code": "US",
            "telephone_number": "757-548-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MIRANDA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "0000011325",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kjersti H. Lee, LPC, LMFT
• Lisa Lee
• Lisa Frailing Lee, L.P.C.
• Melissa Deniece Lee, BA, RBT
• Michael John Lee
• Nicholas Lee, OTD, OTR/L
• Patterson Ong Lee, M.D.
• Sam Y. Lee, LPC
• Samantha Taylor Lee
• Sang Hoon Lee

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.