Active NPI
Ronald D Lee, DPM
- Podiatrist
- Burlington, IA
National Provider Identifier
1679633382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 410
- Practice address
- 102 S 6TH St
Burlington, IA 52601-5403 - Phone
- (319) 754-8996
- Fax
- (319) 754-2177
- NPI assigned
- Dec 11, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 410 | IA | Primary |
Addresses
Primary practice location
102 S 6TH St
Burlington, IA 52601-5403
Mailing address
PO Box 1129
Burlington, IA 52601-1129
Phone (319) 754-8996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210583 | Medicaid | IA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00410 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1679633382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1129",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526011129",
"telephone_number": "319-754-8996",
"fax_number": "319-754-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S 6TH ST",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526015403",
"telephone_number": "319-754-8996",
"fax_number": "319-754-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RONALD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IA",
"license": "410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0210583",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.