Individual provider Active NPI

Wing Mann Lee, DMD

  • Dentist
  • Kansas City, MO
National Provider Identifier
1568613362
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2011026139 Issued in MO
Practice address
4320 Wornall Rd Ste 446
Kansas City, MO 64111-3235
Phone
(816) 376-0851
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55084 CA
Dentist 122300000X 2011026139 MO 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20131230000927 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5890922546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55084CAMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Plaza Dental LLC CurrentSince Mar 9, 2020 Accepting new patients

Locations

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

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1568613362",
    "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": {
        "last_name": "LEE",
        "first_name": "WING",
        "middle_name": "MANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55084",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011026139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.