Individual provider Active NPI

Colleen Tee

  • Dentist
  • Kirkland, WA
National Provider Identifier
1245948231
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61305176 Issued in WA
Practice address
7311 NE 141St St Ste 2
Kirkland, WA 98034-9703
Phone
(425) 823-4343
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61305176 WA Primary

Addresses

Primary practice location

7311 NE 141St St Ste 2
Kirkland, WA 98034-9703

Mailing address

1805 134TH Ave SE Apt 35
Bellevue, WA 98005-8062
Phone (425) 223-8499

Other practice location 1

600 University St Ste 828
Seattle, WA 98101-4117
Phone (206) 682-3093

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
DE61305176WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkland Cornerstone Dental CurrentSince Jan 28, 2024 Accepting new patients
Jae H Kim DDS PLLC PastSince Nov 13, 2022 Accepting new patients
Sabrina Habib Heppe DDS, PS Past Accepting new patients

Locations

7311 NE 141st St
Ste 2
Kirkland, WA 98034
Phone (425) 823-4343

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1245948231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 134TH AVE SE APT 35",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980058062",
            "telephone_number": "425-223-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 NE 141ST ST STE 2",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349703",
            "telephone_number": "425-823-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 University St Ste 828",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981014117",
            "country_code": "US",
            "telephone_number": "206-682-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEE",
        "first_name": "COLLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61305176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.