Active NPI
Kristin Lauren Lee, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Aiea, HI
National Provider Identifier
1568024115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DT-2867
- Practice address
- 98-1247 Kaahumanu St Ste 314
Aiea, HI 96701-5301 - Phone
- (808) 375-1005
- NPI assigned
- Jul 3, 2019
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DDS103773 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DT-2867 | HI | Primary |
Addresses
Primary practice location
98-1247 Kaahumanu St Ste 314
Aiea, HI 96701-5301
Mailing address
98-1247 Kaahumanu St Ste 314
Aiea, HI 96701-5301
Phone (808) 375-1005
Other practice location 1
Highland Hospital
1411 E 31st St.
Oakland, CA 94602
Phone (510) 437-4800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristlee@alamedahealthsystem.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 26, 2022 through Jul 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103773 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| DT-2867 | HI | MD | Oral and Maxillofacial Surgery (Dentist) |
Interoperability endpoints
- klee11779@alamedahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1568024115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-1247 KAAHUMANU ST STE 314",
"city": "AIEA",
"state": "HI",
"postal_code": "967015301",
"telephone_number": "808-375-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1247 KAAHUMANU ST STE 314",
"city": "AIEA",
"state": "HI",
"postal_code": "967015301",
"telephone_number": "808-375-1005"
}
],
"practiceLocations": [
{
"address_1": "Highland Hospital",
"address_2": "1411 E 31st St.",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "94602",
"country_code": "US",
"telephone_number": "510-437-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "KRISTIN",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "DDS103773",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "HI",
"license": "DT-2867",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristlee@alamedahealthsystem.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "Highland Hospital",
"address_2": "1411 E 31st St.",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "94602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.