Organization Active NPI

Eric J Lee DDS PS

  • Dentist
  • Shoreline, WA
National Provider Identifier
1548714587
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00008278 Issued in WA
Legal business name
ERIC J LEE DDS PS
Practice address
16535 5TH Ave NE
Shoreline, WA 98155-5001
Phone
(206) 362-2500
Fax
(206) 362-2501
NPI assigned
Aug 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Eric J Lee, DDS
Title
Owner
Phone
(206) 362-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00008278 WA Primary

Addresses

Primary practice location

16535 5TH Ave NE
Shoreline, WA 98155-5001

Mailing address

16535 5TH Ave NE
Shoreline, WA 98155-5001
Phone (206) 362-2500

National Provider Directory

National Provider Directory

Locations

16535 5th Ave NE
Shoreline, WA 98155
Phone (206) 362-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1548714587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16535 5TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555001",
            "telephone_number": "206-362-2500",
            "fax_number": "206-362-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16535 5TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555001",
            "telephone_number": "206-362-2500",
            "fax_number": "206-362-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J LEE DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-362-2500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.