Lee P Thelen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6184 Issued in WA

Practice address

33801 1St Way S
#361
Federal Way, WA 98003-4546

Phone

(253) 838-4200

Fax

(253) 838-4014

NPI assigned

Aug 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chinh D. DO, DDS, PLLC

  dba First Way Dentistry

  • Dental Clinic/Center
  • Federal Way, WA
  • NPI 1295530939
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386759678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 ORCA DR NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221945",
            "telephone_number": "253-927-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33801 1ST WAY S",
            "address_2": "#361",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034546",
            "telephone_number": "253-838-4200",
            "fax_number": "253-838-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEN",
        "first_name": "LEE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "TH2653",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "654977",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The J.W. Marino Corporation (Marino Salon and Spa)
• The NW Injury Clinic PLLC
• The NW Massage Center
• The Pain Center of Western Washington, PLLC
• The Woodmark at Steel Lake LLC
• Think Different (Think Different Pharmacy)
• Vanessa Thomas Normil, LMHCA
• Adelina Thomas
• Cornelia Anderson Thomas, MED
• Jervey L Thomas IV

• General Practice Dentistry in Federal Way, WA
• Providers in Federal Way, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.