Individual provider Active NPI

Wonhee Lee, D.D.S, M.S

  • Endodontics
  • McLean, VA
National Provider Identifier
1548660509
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
16670 Issued in MD
Practice address
7480 Birdwood Ave Apt 1310
MC Lean, VA 22102-7468
Phone
(202) 826-5134
NPI assigned
Aug 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 16670 MD Primary

Addresses

Primary practice location

7480 Birdwood Ave Apt 1310
MC Lean, VA 22102-7468

Mailing address

7480 Birdwood Ave Apt 1310
MC Lean, VA 22102-7468
Phone (202) 826-5134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161010001905 FL Order and Referring Only - DentistPractitioner - Dentist 6204124142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16670MDMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endoexcela PLLC Endodontics Current Accepting new patients
Wonhee Lee DDS Ms PLLC Endodontics CurrentSince Apr 6, 2021 Accepting new patients

Locations

11800 Sunrise Valley Dr
Ste 250
Reston, VA 20191
Phone (703) 429-9926

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.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1548660509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 BIRDWOOD AVE APT 1310",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221027468",
            "telephone_number": "202-826-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 BIRDWOOD AVE APT 1310",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221027468",
            "telephone_number": "202-826-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WONHEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "16670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.