Individual provider Active NPI

Heather Sangeun Lee, DDS

  • General Practice Dentistry
  • Waynesville, NC
National Provider Identifier
1649550294
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9219 Issued in NC
Practice address
388 S Main St Ste 1
Waynesville, NC 28786-6409
Phone
(828) 456-3911
Fax
(828) 456-9714
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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 9219 NC Primary

Addresses

Primary practice location

388 S Main St Ste 1
Waynesville, NC 28786-6409

Mailing address

1322 W Cove Rd
Canton, NC 28716-7112
Phone (828) 456-3911

Other practice location 1

257 Biltmore Ave
Asheville, NC 28801-4120
Phone (828) 285-0622 ext. 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160608001552 NC Order and Referring Only - DentistPractitioner - Dentist 9133419898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heather S. Lee, DDS, PLLC General Practice CurrentSince Nov 10, 2019 Accepting new patients

Locations

388 S Main St
Ste 1
Waynesville, NC 28786
Phone (828) 456-3911

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": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1649550294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 W COVE RD",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287167112",
            "telephone_number": "828-456-3911",
            "fax_number": "828-456-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 S MAIN ST STE 1",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287866409",
            "telephone_number": "828-456-3911",
            "fax_number": "828-456-9714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014120",
            "country_code": "US",
            "telephone_number": "828-285-0622 x2026",
            "fax_number": "828-348-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "HEATHER",
        "middle_name": "SANGEUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

Verify at the official NPI Registry.