Kenneth A Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042636 Issued in NY

Practice address

338 Harris Hill Rd
Suite # 103
Williamsville, NY 14221-7407

Phone

(716) 631-3221

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NY

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

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538181995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 HARRIS HILL RD",
            "address_2": "SUITE # 103",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217407",
            "telephone_number": "716-631-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 HARRIS HILL RD",
            "address_2": "SUITE # 103",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217407",
            "telephone_number": "716-631-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Lee, LPN
• Carolyn W Lee, NP
• Constance Lee Lee, LPN
• Frank Michael Lee
• Henry C Lee, MD
• Paul J Lee
• Telery Lee
• Jessica Lees, LPN
• Leann R Lefevre, DPT
• Legarreta Eye Center

• General Practice Dentistry in Williamsville, NY
• Providers in Williamsville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.