Kevin Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008756 Issued in VA

Practice address

131 Park Hill Dr Ste a
Fredericksburg, VA 22401-3357

Phone

(540) 373-0602

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Derek J. Galatro, DDS, PC

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1699177246
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275759573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BELLS RIDGE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548423",
            "telephone_number": "540-373-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PARK HILL DR STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013357",
            "telephone_number": "540-373-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "191780",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA OF VIRGINIA",
            "identifier": "008756",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "613532",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne L Lee, OCC THERAPIST
• Christina Lee
• Dong Heun Lee, M.D.
• Heidi Lee
• Ho J Lee, L.AC.,DIPL.AC..
• Lawrence Borden Lee Jr., MD
• Sharon Lee
• Sharon Tiane Lee, APRN, FNP-C
• Sherrie Lee, FNP-C
• Lee'S Hill Chiropractic

• General Practice Dentistry in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.