NPIMap

Organization Active NPI

K J Lee DMD PC

  • Dental Clinic/Center
  • Mechanicsville, VA
National Provider Identifier
1609497205
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
K J LEE DMD PC
Practice address
7522 Lee Davis Rd
Mechanicsville, VA 23111-3603
Phone
(804) 559-1016
Fax
(804) 559-1018
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Mi Lee
Title
Office Manager
Phone
(240) 268-4238

Specialties & licenses 1

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

Addresses

Primary practice location

7522 Lee Davis Rd
Mechanicsville, VA 23111-3603

Mailing address

7522 Lee Davis Rd
Mechanicsville, VA 23111-3603
Phone (804) 559-1016

Other names 1

  • Lee Family Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office

National Provider Directory

National Provider Directory

Locations

7522 Lee Davis Rd
Mechanicsville, VA 23111
Phone (804) 559-1016

Practitioners & affiliated clinicians

Practitioners 5

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": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1609497205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 LEE DAVIS RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113603",
            "telephone_number": "804-559-1016",
            "fax_number": "804-559-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 LEE DAVIS RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113603",
            "telephone_number": "804-559-1016",
            "fax_number": "804-559-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K J LEE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "240-268-4238"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "7522 Lee Davis Rd",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231113603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lee Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.