Kourtney Adele Lee, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

17840 Issued in MD

Practice address

Midshore Pediatric Dentistry
508-B Cynwood Dr
Easton, MD 21601

Phone

(410) 819-0726

Fax

(410) 810-3239

NPI assigned

Sep 10, 2013

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

Other names 1

• Kourtney Adele Simpson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: klee1226976@direct.umm.edu

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.

• Dentistry for Children

  • Pediatric Dentistry
  • Easton, MD
  • NPI 1740717313
  NPD (past)

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1366877250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIDSHORE PEDIATRIC DENTISTRY",
            "address_2": "508-B CYNWOOD DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-819-0726",
            "fax_number": "410-810-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIDSHORE PEDIATRIC DENTISTRY",
            "address_2": "508-B CYNWOOD DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-819-0726",
            "fax_number": "410-810-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KOURTNEY",
        "middle_name": "ADELE",
        "name_prefix": "Mrs.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2024-03-06",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9756",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9756",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "17840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Outlook",
            "affiliation": "N",
            "endpointDescription": "secure emailing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Unit 31401",
            "city": "APO",
            "state": "AE",
            "country_code": "US",
            "postal_code": "096301401",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "other_names": [
        {
            "first_name": "KOURTNEY",
            "last_name": "SIMPSON",
            "middle_name": "ADELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miguel Reynaldo Laygo, DPT
• Brighton K Laznovsky, LCADC
• Latasha Tamekia Leak, FAMILY ADVOCATE
• Learning Together, LLC
• Emily Schneider Lebowitz, BCBA
• Megan Lee
• Leelia'S Healthcare
• Catherine R Leffler, PTA
• Amanda Rae Lehmann, PHARMD
• Stephen B Lemke, DO

• Pediatric Dentistry in Easton, MD
• Providers in Easton, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.