Individual provider Active NPI

Linda Lee, DMD

  • Dentist
  • Maspeth, NY
National Provider Identifier
1588283261
Registry record updated Oct 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
061840 Issued in NY
Practice address
6705 53Rd Rd
Maspeth, NY 11378-1709
Phone
(616) 516-3095
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 061840 NY Primary

Addresses

Primary practice location

6705 53Rd Rd
Maspeth, NY 11378-1709

Mailing address

6705 53Rd Rd
Maspeth, NY 11378-1709

Other practice location 1

11203 Queens Blvd Ste 211
Forest Hills, NY 11375-5550
Phone (718) 268-8228

Other practice location 2

25 Central Park W Apt 1B
New York, NY 10023-7206
Phone (212) 579-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
061840NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667001600000",
    "number": "1588283261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 53RD RD",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 53RD RD",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781709",
            "telephone_number": "616-516-3095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11203 Queens Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113755550",
            "country_code": "US",
            "telephone_number": "718-268-8228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Central Park W Apt 1B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100237206",
            "country_code": "US",
            "telephone_number": "212-579-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "LINDA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; 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.