Active NPI
Kerry Hope O'Bannon Lee, DDS
- Pediatric Dentistry
- Wenatchee, WA
National Provider Identifier
1255031019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE.61459409
- Practice address
- 146 Easy Way
Wenatchee, WA 98801-8108 - Phone
- (509) 664-5000
- NPI assigned
- Mar 9, 2023
- Last updated
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE.61459409 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | WA |
Addresses
Primary practice location
146 Easy Way
Wenatchee, WA 98801-8108
Mailing address
190 Adel LN
Wenatchee, WA 98801-5811
Phone (703) 606-1879
Other names 1
- Kerry Hope O'Bannon
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 |
|---|---|---|---|
| DE.61459409 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1255031019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 ADEL LN",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988015811",
"telephone_number": "703-606-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 EASY WAY",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988018108",
"telephone_number": "509-664-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KERRY",
"middle_name": "HOPE O'BANNON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-09",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE.61459409",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "O'BANNON",
"middle_name": "HOPE",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.