Individual provider Active NPI

Lei Shi, DDS

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1306337282
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11011 Issued in NC
Practice address
8511 Cantilever Way Ste 101
Raleigh, NC 27613-6996
Phone
(919) 278-7576
NPI assigned
May 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11011 NC Primary

Addresses

Primary practice location

8511 Cantilever Way Ste 101
Raleigh, NC 27613-6996

Mailing address

8511 Cantilever Way Ste 101
Raleigh, NC 27613-6996
Phone (919) 278-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20180730000509 NC Order and Referring Only - DentistPractitioner - Dentist 3072861665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11011NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lei Shi DDS PLLC CurrentSince Apr 27, 2025 Accepting new patients
Ryan Le & Associates, D.D.S., P.a. General Practice PastSince Apr 27, 2025 Accepting new patients
Lane & Associates DDS Xvii PA General Practice PastSince Jul 24, 2022 Accepting new patients

Locations

8511 Cantilever Way
Ste 101
Raleigh, NC 27613
Phone (919) 278-7576

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1306337282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 CANTILEVER WAY STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136996",
            "telephone_number": "919-278-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 CANTILEVER WAY STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136996",
            "telephone_number": "919-278-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "LEI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.