Individual provider Active NPI

Josephine Ko Lee, DDS

  • General Practice Dentistry
  • Federal Way, WA
National Provider Identifier
1508979980
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00006925 Issued in WA
Practice address
728 S 320TH St
Ste E
Federal Way, WA 98003-5255
Phone
(253) 941-6365
Fax
(253) 941-9166
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00006925 WA
General Practice Dentistry 1223G0001X DE00006925 WA Primary

Addresses

Primary practice location

728 S 320TH St
Ste E
Federal Way, WA 98003-5255

Mailing address

728 S 320TH St
Ste E
Federal Way, WA 98003-5255
Phone (253) 941-6365

Other practice location 1

31405 18th Ave S
Federal Way, WA 98003-5433
Phone (253) 681-6620

Other identifiers 1

IdentifierTypeStateIssuer
2192435MedicaidWA

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 Apr 6, 2017 through Apr 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00006925WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah Doan DDS PLLC General Practice PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1508979980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 S 320TH ST",
            "address_2": "STE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035255",
            "telephone_number": "253-941-6365",
            "fax_number": "253-941-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 S 320TH ST",
            "address_2": "STE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035255",
            "telephone_number": "253-941-6365",
            "fax_number": "253-941-9166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31405 18th Ave S",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980035433",
            "country_code": "US",
            "telephone_number": "253-681-6620",
            "fax_number": "253-681-6648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSEPHINE",
        "middle_name": "KO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006925",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2192435",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.