Nicole Lee

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE61565578 Issued in WA

Practice address

7120 Woodlawn Ave NE Apt 107
Seattle, WA 98115-1428

Phone

(425) 503-1012

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

• Child Smiles Spec LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newark, NJ
  • NPI 1184099251

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1346817541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 WOODLAWN AVE NE APT 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981151428",
            "telephone_number": "425-503-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 WOODLAWN AVE NE APT 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981151428",
            "telephone_number": "425-503-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "1346817541",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI03004600",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE61565578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myungja Mia Lee, MD
• NA Young Lee, M.D.
• Naomi L Lee, MD
• Nelson B Lee, CRNA
• Nicole Lee
• Nyaria Lee
• Ok R Lee, DN 00000474
• Oliver Federico Lee, MD
• Patrick Christopher Lee, MD
• Payshan Lee, PHARM.D.

• Pediatric Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.