Susan Lee

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

04769 Issued in NH

Practice address

56 Peterborough St
Jaffrey, NH 03452-5860

Phone

(603) 532-8621

NPI assigned

Mar 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Monadnock Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Jaffrey, NH
  • NPI 1346337755
  NPD (past)

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1306238167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GROVE ST APT 2B",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581760",
            "telephone_number": "917-244-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 PETERBOROUGH ST",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034525860",
            "telephone_number": "603-532-8621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 S Gulph Rd",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194063136",
            "country_code": "US",
            "telephone_number": "610-337-2325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040715",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "04769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaffrey-Rindge Memorial Ambulance Inc
• Marie H Jean
• Nancy Jun, DDS
• Kimberly L Keating
• Stephen G Klonel, DO
• Marcia Lehman, RN
• Sandy Lor, DMD
• Deborah S Madigan
• Tina M Martin
• Charlotte McCarthy, PT

• Pediatric Dentistry in Jaffrey, NH
• Providers in Jaffrey, NH by specialty
• Pediatric Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.