Organization Active NPI

National Light Dental PC

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1386085835
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1000768 Issued in DC
Legal business name
NATIONAL LIGHT DENTAL PC
Practice address
1145 19TH St NW Ste 714
Washington, DC 20036-3713
Phone
(202) 775-1414
Fax
(202) 775-2459
NPI assigned
Jul 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Dr. Jong Lee, DMD
Title
President
Phone
(202) 775-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DEN1000768 DC Primary

Addresses

Primary practice location

1145 19TH St NW Ste 714
Washington, DC 20036-3713

Mailing address

1145 19TH St NW Ste 714
Washington, DC 20036-3713
Phone (202) 775-1414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1386085835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 714",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363713",
            "telephone_number": "202-775-1414",
            "fax_number": "202-775-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 714",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363713",
            "telephone_number": "202-775-1414",
            "fax_number": "202-775-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL LIGHT DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-775-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.