Individual provider Active NPI

Eunice P Lee, DMD,MPH,MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Littleton, CO
National Provider Identifier
1255304036
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7924 Issued in CO
Practice address
8199 Southpark LN
Suite #150
Littleton, CO 80120-4530
Phone
(303) 738-8828
Fax
(303) 738-8823
NPI assigned
Feb 10, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7924 CO Primary

Addresses

Primary practice location

8199 Southpark LN
Suite #150
Littleton, CO 80120-4530

Mailing address

8199 Southpark LN
Suite #150
Littleton, CO 80120-4530
Phone (303) 738-8828

Other identifiers 1

IdentifierTypeStateIssuer
60387831MedicaidCO

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7924COMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255304036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8199 SOUTHPARK LN",
            "address_2": "SUITE #150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204530",
            "telephone_number": "303-738-8828",
            "fax_number": "303-738-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 SOUTHPARK LN",
            "address_2": "SUITE #150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204530",
            "telephone_number": "303-738-8828",
            "fax_number": "303-738-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUNICE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD,MPH,MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "7924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60387831",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.