Ignatius K Lee, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9633 Issued in MN

Practice address

14400 W Burnsville Pkwy
Suite 2
Burnsville, MN 55306-4983

Phone

(952) 736-1080

Fax

(952) 736-1091

NPI assigned

Oct 12, 2005

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 1

Medicare fee-for-service enrollment

Enrolled in MN

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

State licenses

Practice roles

Locations

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.

• Ignatius K. Lee DDS PA

  • Dental Clinic/Center
  • Burnsville, MN
  • NPI 1386397065
  NPD Authorized official

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1356339337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 W BURNSVILLE PKWY",
            "address_2": "SUITE 2",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064983",
            "telephone_number": "952-736-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 W BURNSVILLE PKWY",
            "address_2": "SUITE 2",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064983",
            "telephone_number": "952-736-1080",
            "fax_number": "952-736-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "IGNATIUS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320223200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy A Leafblad, M.D.
• Rachel Millar Leake, NP-C
• Jeremy Leclaire
• Lee Medical Inc
• Byung L Lee, MD
• Molly Elizabeth Lee, PT
• Rebecca Ann Leedy
• Analice Guimaraes Lehman
• Maria Leider
• Mark Leiknes

• Dentist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.