Joseph Lee

Primary specialty

DentistTaxonomy code 122300000X

License

19792 Issued in MA

Practice address

29 Farragut Road South
South Boston Dental
South Boston, MA 02127-1718

Phone

(617) 268-1030

Fax

(617) 268-2924

NPI assigned

Dec 16, 2008

Last updated

Dec 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Boston Dental Associates

  • Dental Clinic/Center
  • South Boston, MA
  • NPI 1356563316
  NPD (past)

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1477798700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FARRAGUT RD",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021271718",
            "telephone_number": "617-268-1030",
            "fax_number": "617-268-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 FARRAGUT ROAD SOUTH",
            "address_2": "SOUTH BOSTON DENTAL",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021271718",
            "telephone_number": "617-268-1030",
            "fax_number": "617-268-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Irene Kontax, D.M.D
• Kristen M Lambert
• Judith Anne Larsen, PH.D.
• Christopher M Lauzon, LICSW
• John D Leavitt, MSW
• Djinny Love Leroy
• Sarah Lewis, DPT
• Suru Lin, M.D., M.P.H.
• Lisa Scialla DPT, PLLC (Boston Chiropractic And Physical Therapy)
• Ben W Liu, DMD

• Dentist in South Boston, MA
• Providers in South Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.