Individual provider Active NPI

James Lee, DDS

  • Dentist
  • Columbus, OH
National Provider Identifier
1306404710
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025774 Issued in OH
Practice address
4490 Indianola Ave
Columbus, OH 43214-2244
Phone
(614) 262-8180
Fax
(614) 262-2883
NPI assigned
May 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.025774 OH Primary

Addresses

Primary practice location

4490 Indianola Ave
Columbus, OH 43214-2244

Mailing address

1307 Spagnol LN
Westerville, OH 43081-7527
Phone (614) 940-0318

Other practice location 1

686 Corylus Dr
Pataskala, OH 43062-7628
Phone (740) 964-3500

Other practice location 2

6441 Winchester Blvd
Canal Winchester, OH 43110-2033
Phone (614) 834-3455

Other practice location 3

10705 Blacklick Eastern Rd Ste 100
Pickerington, OH 43147-5200
Phone (614) 382-4648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.025774OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolyn D Bednar DDS Inc Dentist PastSince Jul 21, 2024 Accepting new patients
Elemental Dental - Sonya R. Moesle DDS, LLC PastSince May 14, 2023 Accepting new patients

Organizations & group practices 2

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1306404710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SPAGNOL LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817527",
            "telephone_number": "614-940-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 INDIANOLA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142244",
            "telephone_number": "614-262-8180",
            "fax_number": "614-262-2883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "686 Corylus Dr",
            "address_purpose": "LOCATION",
            "city": "Pataskala",
            "state": "OH",
            "postal_code": "430627628",
            "country_code": "US",
            "telephone_number": "740-964-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6441 Winchester Blvd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431102033",
            "country_code": "US",
            "telephone_number": "614-834-3455",
            "fax_number": "614-834-3457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10705 Blacklick Eastern Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431475200",
            "country_code": "US",
            "telephone_number": "614-382-4648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

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