Keng-Ti Lee, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010008 Issued in WA

Practice address

13333 Meridian E
Suite E
Puyallup, WA 98373-2405

Phone

(253) 770-4342

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Joe Lee Other name

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 and National Provider Directory roles.

• Dental Professionals of Washington Quirt Mongrain Gibree PC

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1134865736
  NPD (past)
• Shao, Lee & Hsu PLLC

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1740514561
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1457568339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 MERIDIAN E",
            "address_2": "SUITE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983732405",
            "telephone_number": "253-770-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 MERIDIAN E",
            "address_2": "SUITE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983732405",
            "telephone_number": "253-770-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KENG-TI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010008",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "LEE",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Celeste Myong Suk Lee
• Christine J Lee, M.D.
• Jacqueline Lee
• Jae Wook Lee
• John Yejun Lee
• Kevin Scott Lee, O.D.
• Martin Mao-Ting Lee, MD
• Nari Lee, D.C.
• Rebekah Nicole Lee, MOT, OTR/L
• Soo Young Lee

• Dentist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.