NPIMap

Organization Active NPI

Grace H Lee DDS LTD

Doing business as Lakeview Smiles

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1437456712
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.026497 Issued in IL
Legal business name
GRACE H LEE DDS LTD
Doing business as
Lakeview Smiles
Practice address
916 W Belmont Ave
Suite 201
Chicago, IL 60657-4427
Phone
(773) 929-1150
Fax
(773) 929-0831
NPI assigned
Feb 22, 2011
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Dr. Grace H Lee, DDS
Title
Dentist/Owner
Phone
(773) 929-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019.026497 IL Primary

Addresses

Primary practice location

916 W Belmont Ave
Suite 201
Chicago, IL 60657-4427

Mailing address

916 W Belmont Ave
Suite 201
Chicago, IL 60657-4427
Phone (773) 929-1150

Other names 1

  • Lakeview Smiles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1437456712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W BELMONT AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574427",
            "telephone_number": "773-929-1150",
            "fax_number": "773-929-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W BELMONT AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574427",
            "telephone_number": "773-929-1150",
            "fax_number": "773-929-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE H LEE DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "773-929-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.026497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.