Vang Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14218 Issued in MN

Practice address

5901 94TH Ave N Ste 105
Brooklyn Park, MN 55443-2389

Phone

(763) 703-2512

NPI assigned

May 28, 2019

Sex

Female

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

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.

• Minnesota Dental Professionals, P.C.

  • General Practice Dentistry
  • Brooklyn Park, MN
  • NPI 1225696925
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1225695174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GIRARD AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113130",
            "telephone_number": "651-815-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 94TH AVE N STE 105",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432389",
            "telephone_number": "763-703-2512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Zane Ave N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "55443",
            "country_code": "US",
            "telephone_number": "763-703-2512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "VANG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Jane Leary, PT
• Pang Houa Lee-Vang, NP
• Jennie Lee
• Joseph Seong Lee, D.C.
• Keng Lee
• Leeli Health Care LLC
• Eric Gene Lent
• Levan Counseling & Consulting Services Professional
• Lewis Family Wellness Center LLC
• Cerise Dione Lewis, PHD, LMFT, LPCC

• General Practice Dentistry in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.