Active NPI
I-Ting Lee
- General Practice Dentistry
- North Chili, NY
National Provider Identifier
1649044439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 016.0134229
- Practice address
- 13 Boneset TRL Apt F
North Chili, NY 14514-9627 - Phone
- (734) 210-4520
- NPI assigned
- Nov 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 016.0134229 | VT | Primary |
Addresses
Primary practice location
13 Boneset TRL Apt F
North Chili, NY 14514-9627
Mailing address
13 Boneset TRL Apt F
North Chili, NY 14514-9627
Phone (734) 210-4520
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0134229 | VT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1649044439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 BONESET TRL APT F",
"city": "NORTH CHILI",
"state": "NY",
"postal_code": "145149627",
"telephone_number": "734-210-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 BONESET TRL APT F",
"city": "NORTH CHILI",
"state": "NY",
"postal_code": "145149627",
"telephone_number": "734-210-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "I-TING",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "016.0134229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chili, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.