Organization Active NPI

Solomon M Lee DDS PC

  • Dentist
  • Colonial Heights, VA
National Provider Identifier
1487731105
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410072 Issued in VA
Legal business name
SOLOMON M LEE DDS PC
Practice address
3505 Boulevard
Colonial Heights, VA 23834-1319
Phone
(804) 520-5009
Fax
(804) 520-0901
NPI assigned
Nov 1, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Soloman M Lee
Title
President Principal
Phone
(804) 520-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401410072 VA Primary

Addresses

Primary practice location

3505 Boulevard
Colonial Heights, VA 23834-1319

Mailing address

3505 Boulevard
Colonial Heights, VA 23834-1319
Phone (804) 520-5009

Other identifiers 1

IdentifierTypeStateIssuer
0009435MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1487731105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341319",
            "telephone_number": "804-520-5009",
            "fax_number": "804-520-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341319",
            "telephone_number": "804-520-5009",
            "fax_number": "804-520-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON M LEE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOLOMAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT PRINCIPAL",
        "authorized_official_telephone_number": "804-520-5009",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009435",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.