Organization Active NPI

Christie Lee DMD PLLC

Doing business as Thrive Kids Dentistry

  • Pediatric Dentistry
  • Edmonds, WA
National Provider Identifier
1265019905
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHRISTIE LEE DMD PLLC
Doing business as
Thrive Kids Dentistry
Practice address
10032 Edmonds Way Ste 102
Edmonds, WA 98020-5169
Phone
(425) 202-5877
NPI assigned
Mar 27, 2021
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Dr. Christie Kim Lee, DMDNPI 1871812818
Title
Owner
Phone
(425) 329-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

10032 Edmonds Way Ste 102
Edmonds, WA 98020-5169

Mailing address

6536 55TH Ave NE
Seattle, WA 98115-7825

Other identifiers 1

IdentifierTypeStateIssuer
604691251OtherWASECRETARY OF STATE (UBI)

Other names 1

  • Thrive Kids Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drchristielee@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

10032 Edmonds Way
Ste 102
Edmonds, WA 98020
Phone (425) 202-5877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1265019905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 55TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10032 EDMONDS WAY STE 102",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205169",
            "telephone_number": "425-202-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE LEE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-27",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-329-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE (UBI)",
            "identifier": "604691251",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drchristielee@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "10032 Edmonds Way Ste 102",
            "city": "Edmonds",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980205169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Thrive Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.