Active NPI
Nara Lee, DMD
- General Practice Dentistry
- Smithsburg, MD
National Provider Identifier
1669217196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18158
- Practice address
- 22109 Jefferson Blvd
Smithsburg, MD 21783-2059 - Phone
- (301) 824-5111
- NPI assigned
- Jun 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 18158 | MD | Primary |
Addresses
Primary practice location
22109 Jefferson Blvd
Smithsburg, MD 21783-2059
Mailing address
22109 Jefferson Blvd
Smithsburg, MD 21783-2059
Other practice location 1
19418 Leitersburg Pike
Hagerstown, MD 21742-1438
Phone (301) 797-8987
Other practice location 2
17719 Virginia Ave
Hagerstown, MD 21740-7085
Phone (301) 714-2244
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 |
|---|---|---|---|
| 18158 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegany Dental Care PA | General Practice | Past | Accepting new patients |
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": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1669217196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22109 JEFFERSON BLVD",
"city": "SMITHSBURG",
"state": "MD",
"postal_code": "217832059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22109 JEFFERSON BLVD",
"city": "SMITHSBURG",
"state": "MD",
"postal_code": "217832059",
"telephone_number": "301-824-5111"
}
],
"practiceLocations": [
{
"address_1": "19418 Leitersburg Pike",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217421438",
"country_code": "US",
"telephone_number": "301-797-8987",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17719 Virginia Ave",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217407085",
"country_code": "US",
"telephone_number": "301-714-2244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "NARA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "18158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithsburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.