Individual provider Active NPI

Diana Kar Yiu Lee, DDS

  • Pediatric Dentistry
  • Elmhurst, IL
National Provider Identifier
1467520056
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
021001843 Issued in IL
Practice address
565 S Hawthorne Ave
Elmhurst, IL 60126-3762
Phone
(630) 290-6310
NPI assigned
Dec 1, 2006
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019024289 IL
Pediatric Dentistry 1223P0221X 021.001843 IL
Pediatric Dentistry 1223P0221X 021001843 IL Primary

Addresses

Primary practice location

565 S Hawthorne Ave
Elmhurst, IL 60126-3762

Mailing address

565 S Hawthorne Ave
Elmhurst, IL 60126-3762
Phone (630) 290-6310

Other names 1

  • Diana Fine Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 13, 2015 through Mar 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019024289ILMDDentist
021.001843ILMDPediatric Dentist
021001843ILMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1467520056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 S HAWTHORNE AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263762",
            "telephone_number": "630-290-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 S HAWTHORNE AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263762",
            "telephone_number": "630-290-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DIANA",
        "middle_name": "KAR YIU",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024289",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021.001843",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021001843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "FINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.