Ena Lee, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6294-015 Issued in WI

Practice address

3230 University Ave
Ste 11
Madison, WI 53705-3540

Phone

(608) 231-1718

NPI assigned

Jun 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1659531283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 MARSHALL CT",
            "address_2": "203",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052255",
            "telephone_number": "651-216-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 UNIVERSITY AVE",
            "address_2": "STE 11",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053540",
            "telephone_number": "608-231-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ENA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12521",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6294-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christoph Ilsuk Lee, M.D.
• Craig A Lee
• Dave Kim Lee, MD, MPH
• David C. Lee, PHD, JD
• Elliot R Lee, M.D.
• Fred T Lee, MD
• Gabriel Lee
• Jae Hyoung Lee, MD, MPH
• Jeffrey W Lee, MD
• Jenna Lee, MD

• Dentist in Madison, WI
• Providers in Madison, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.