Organization Active NPI

Lee Plaza Dental LLC

  • Dental Clinic/Center
  • Kansas City, MO
National Provider Identifier
1568097236
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LEE PLAZA DENTAL LLC
Practice address
4320 Wornall Rd Ste 446
Kansas City, MO 64111-3235
Phone
(816) 376-0851
NPI assigned
Mar 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Dr. Wing Mann Lee, DMDNPI 1568613362
Title
Manager and Sole Member
Phone
(617) 201-2645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4320 Wornall Rd Ste 446
Kansas City, MO 64111-3235

Mailing address

4320 Wornall Rd Ste 446
Kansas City, MO 64111-3235
Phone (816) 376-0851

Other names 1

  • LEE PLAZA DENTAL LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4320 Wornall Rd
Ste 446
Kansas City, MO 64111
Phone (816) 376-0851

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": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1568097236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD STE 446",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113235",
            "telephone_number": "816-376-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD STE 446",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113235",
            "telephone_number": "816-376-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE PLAZA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WING",
        "authorized_official_middle_name": "MANN",
        "authorized_official_title_or_position": "MANAGER AND SOLE MEMBER",
        "authorized_official_telephone_number": "617-201-2645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEE PLAZA DENTAL LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.