Active NPI
Sang Chae Lee, DDS
- Dentist
- Saint Peter, MN
National Provider Identifier
1659399889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10576
- Practice address
- 100 Freeman Dr
Saint Peter, MN 56082-3504 - Phone
- (507) 985-2442
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D10576 | MN | Primary |
Addresses
Primary practice location
100 Freeman Dr
Saint Peter, MN 56082-3504
Mailing address
100 Freeman Dr
Saint Peter, MN 56082-3504
Phone (507) 985-2442
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 |
|---|---|---|---|
| D10576 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1659399889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 FREEMAN DR",
"city": "SAINT PETER",
"state": "MN",
"postal_code": "560823504",
"telephone_number": "507-985-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FREEMAN DR",
"city": "SAINT PETER",
"state": "MN",
"postal_code": "560823504",
"telephone_number": "507-985-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SANG",
"middle_name": "CHAE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D10576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.