Individual provider Active NPI

Kaitlin Elizabeth Lee, DDS

  • Pediatric Dentistry
  • Kailua, HI
National Provider Identifier
1447682620
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DT3190 Issued in HI
Practice address
970 N Kalaheo Ave Ste C309
Kailua, HI 96734-1873
Phone
(808) 254-5503
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 27473 TX
Pediatric Dentistry 1223P0221X DT3190 HI Primary

Addresses

Primary practice location

970 N Kalaheo Ave Ste C309
Kailua, HI 96734-1873

Mailing address

970 N Kalaheo Ave Ste C309
Kailua, HI 96734-1873
Phone (808) 254-5503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT3190HIMDPediatric Dentist
27473TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Summer T. Wood, D.M.D., L.L.C. PastSince Feb 23, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kaitlin.lee.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1447682620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C309",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341873",
            "telephone_number": "808-254-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C309",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341873",
            "telephone_number": "808-254-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KAITLIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "27473",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "DT3190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.