Individual provider Active NPI

William Jae Lee, DDS

  • Dentist
  • Chapel Hill, NC
National Provider Identifier
1700858750
Registry record updated Sep 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7783 Issued in NC
Practice address
109 Conner Dr
Suite 2100
Chapel Hill, NC 27514-7039
Phone
(919) 442-1670
NPI assigned
Feb 3, 2006
Last updated
Sep 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7783 NC Primary

Addresses

Primary practice location

109 Conner Dr
Suite 2100
Chapel Hill, NC 27514-7039

Mailing address

109 Conner Dr
Suite 2100
Chapel Hill, NC 27514-7039
Phone (919) 442-1670

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
I20160509000498 NC Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9133428469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379808000000",
    "number": "1700858750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CONNER DR",
            "address_2": "SUITE 2100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147039",
            "telephone_number": "919-442-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CONNER DR",
            "address_2": "SUITE 2100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147039",
            "telephone_number": "919-442-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WILLIAM",
        "middle_name": "JAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.