Jim Lee, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

15259 Issued in MD

Legal business name

JIM LEE, LLC

Practice address

690 Prince Frederick Blvd
Prince Frederick, MD 20678-3146

Phone

(202) 423-8867

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jim Ming-an Lee, DDS

Title

Owner

Phone

(202) 423-8867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1528429321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 PRINCE FREDERICK BLVD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783146",
            "telephone_number": "202-423-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 PRINCE FREDERICK BLVD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783146",
            "telephone_number": "202-423-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM LEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "MING-AN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-423-8867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "15259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Jahed, AUD
• Parul Sanatkumar Jani, M.D.
• Jittikom Jantarasami, MD
• Catherine M Jenifer, M.S. CCC-SLP
• Jennifer Lynn Jensen, OTR/L
• John P Hakim MD & Associates PA
• Alanah Johnson
• Evelyn Theres Johnson, PHARMD, RPH
• Michelle D Johnson, M.D.
• Rachel Eileen Johnson, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.