Jay Lee, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019027209 Issued in IL

Practice address

10730 W 165TH St
Orland Park, IL 60647

Phone

(708) 460-3040

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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

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.

• Orland Oaks Dental, PC

  • Dental Clinic/Center
  • Orland Park, IL
  • NPI 1659902815
  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": "1440806400000",
    "number": "1487862249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 165TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 W 165TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "708-460-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Devota Leamy, MS CCC-SLP
• Margo Larissa Leatherwood, MD
• Ashley A Ledonne, FNP
• Megan Carol Leduc, PHARMD, RPH
• Sherie Lee-Jackson, OTR
• Meriden Margaret Lee, PA-C
• Nicole Lefko
• Susan R Leftwich, OTR/L, CHT
• Maria Lynette Legaspi
• Kirsten Leininger, CADC

• Dentist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2015; 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.