Active NPI
Jessica Yuna Lee, DDS, MPH, PHD
- Pediatric Dentistry
- Chapel Hill, NC
National Provider Identifier
1548284334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0017
- Practice address
- 150 Dental Cir
Dental Faculty Practice
Chapel Hill, NC 27599-7450 - Phone
- (919) 537-3940
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 049178-1 | NY | |
| Pediatric Dentistry | 1223P0221X | 0017 | NC | Primary |
Addresses
Primary practice location
150 Dental Cir
Dental Faculty Practice
Chapel Hill, NC 27599-7450
Mailing address
150 Dental Cir
Dental Faculty Practice
Chapel Hill, NC 27599-7450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548284334 | Medicaid | NC |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017 | NC | MD | Pediatric Dentist |
| 049178-1 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Faculty Practice | Pediatric Dentistry | Past | Accepting new patients |
| University of North Carolina at Chapel Hill | Past | Accepting new patients |
Interoperability endpoints
- jlee12447@direct.unc.nchie.net
Organizations & group practices 2
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.
-
dba Craniofacial Center
- Multi-Specialty Clinic/Center
- Chapel Hill, NC
- NPI 1427138676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1548284334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 DENTAL CIR",
"address_2": "DENTAL FACULTY PRACTICE",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 DENTAL CIR",
"address_2": "DENTAL FACULTY PRACTICE",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997450",
"telephone_number": "919-537-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JESSICA",
"middle_name": "YUNA",
"name_prefix": "Dr.",
"credential": "DDS, MPH, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "049178-1",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "0017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548284334",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.