Individual provider Active NPI

Anna Lee, DDS

  • General Practice Dentistry
  • Snoqualmie, WA
National Provider Identifier
1548368616
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00007461 Issued in WA
Practice address
38475 SE River St
Snoqualmie, WA 98065-9658
Phone
(425) 888-2684
Fax
(425) 831-2119
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00007461 WA Primary

Addresses

Primary practice location

38475 SE River St
Snoqualmie, WA 98065-9658

Mailing address

PO Box 1974
38475 SE River Street
Snoqualmie, WA 98065-1952
Phone (425) 888-2684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20160401001096 AZ Order and Referring Only - DentistPractitioner - Dentist 1658678891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Snoqualmie Family Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alee289520@direct.ochin.org

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1548368616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1974",
            "address_2": "38475 SE RIVER STREET",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980651952",
            "telephone_number": "425-888-2684",
            "fax_number": "425-831-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38475 SE RIVER ST",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659658",
            "telephone_number": "425-888-2684",
            "fax_number": "425-831-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

Verify at the official NPI Registry.