Active NPI
Christin Lee, DDS
- Dentist
- Farmers Branch, TX
National Provider Identifier
1548037567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40734
- Practice address
- 12900 Josey LN Ste 140
Farmers Branch, TX 75234-6564 - Phone
- (972) 243-3739
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60658516 | WA | |
| Dentist | 122300000X | 40734 | TX | Primary |
Addresses
Primary practice location
12900 Josey LN Ste 140
Farmers Branch, TX 75234-6564
Mailing address
2206 165TH Avenue CT E # 206-313
Lake Tapps, WA 98391-4927
Phone (206) 313-6539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40734 | TX | MD | Dentist |
| DE60658516 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1548037567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 165TH AVENUE CT E # 206-313",
"city": "LAKE TAPPS",
"state": "WA",
"postal_code": "983914927",
"telephone_number": "206-313-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 JOSEY LN STE 140",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752346564",
"telephone_number": "972-243-3739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTIN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60658516",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "40734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.