Heejun Kathy Lee, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12206 Issued in MD

Practice address

22 W Padonia Rd
Suite C244
Timonium, MD 21093-2226

Phone

(410) 252-3900

Fax

(410) 252-6051

NPI assigned

Feb 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kathy Lee Professional name

Medicare fee-for-service enrollment

Enrolled in MD

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

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.

• Baltimore Endodontic Associates LLC

  • Endodontics
  • Towson, MD
  • NPI 1023953908
  NPD Authorized official
• Maryland Endodontic Group, P.C.

  • Endodontics
  • Timonium, MD
  • NPI 1912041062
  NPD (past)
• Sterling Endodontics - Timonium

  • Endodontics
  • Timonium, MD
  • NPI 1346941622
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407983612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SAGEWOOD CT",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529304",
            "telephone_number": "410-472-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD",
            "address_2": "SUITE C244",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932226",
            "telephone_number": "410-252-3900",
            "fax_number": "410-252-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HEEJUN",
        "middle_name": "KATHY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "12206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• George Edwin Lauterbach, D.D.S.
• Daphine Leake
• Erin Leatherman, PT, DPT
• Dylan Leclair
• Aaron Lee
• Hyoen Joo Joo Lee, NP
• Karen Lee
• Sunhee Lee
• Robert Gene Leikin, O.D.
• Kendra Lennon

• Endodontics in Timonium, MD
• Providers in Timonium, MD by specialty
• Endodontics in Maryland

• 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.
• 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.