Individual provider Active NPI

Jennifer Cheng Lee, DDS

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1578618864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT2065 Issued in HI
Practice address
1314 S King St Ste 725
Honolulu, HI 96814-1942
Phone
(808) 596-2285
Fax
(808) 591-0668
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT2065 HI Primary

Addresses

Primary practice location

1314 S King St Ste 725
Honolulu, HI 96814-1942

Mailing address

1314 S King St Ste 725
Honolulu, HI 96814-1942
Phone (808) 596-2285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20150709001611 HI Order and Referring Only - DentistPractitioner - Dentist 0749592459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT2065HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cheng Family Dental Inc General Practice Current Accepting new patients

Locations

1314 S King St
Ste 725
Honolulu, HI 96814
Phone (808) 596-2285

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578618864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141942",
            "telephone_number": "808-596-2285",
            "fax_number": "808-591-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141942",
            "telephone_number": "808-596-2285",
            "fax_number": "808-591-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "middle_name": "CHENG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT2065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.