Active NPI
Christie Lee DMD PLLC
Doing business as Thrive Kids Dentistry
- Pediatric Dentistry
- Edmonds, WA
National Provider Identifier
1265019905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christie Kim Lee, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604691251 | Other | WA | SECRETARY OF STATE (UBI) |
Other names 1
- Thrive Kids Dentistry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | drchristielee@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Edmonds, WA
- NPI 1871812818
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.