Active NPI
Daniel W Lee, D.M.D.
- General Practice Dentistry
- Boston, MA
National Provider Identifier
1245408723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14021
- Practice address
- 2 Boylston St
Suite 202
Boston, MA 02116-4737 - Phone
- (617) 451-1922
- NPI assigned
- Feb 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14021 | MA | Primary |
Addresses
Primary practice location
2 Boylston St
Suite 202
Boston, MA 02116-4737
Mailing address
2 Boylston St
Suite 202
Boston, MA 02116
Phone (617) 451-1922
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 |
|---|---|---|---|
| 14021 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1245408723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BOYLSTON ST",
"address_2": "SUITE 202",
"city": "BOSTON",
"state": "MA",
"postal_code": "02116",
"telephone_number": "617-451-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BOYLSTON ST",
"address_2": "SUITE 202",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164737",
"telephone_number": "617-451-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DANIEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-18",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "14021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.