NPIMap

Organization Active NPI

Lee Denture Clinic, LLC

  • Denturist
  • Aloha, OR
National Provider Identifier
1710313051
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DT-DO-10126667 Issued in OR
Legal business name
LEE DENTURE CLINIC, LLC
Practice address
4055 SW 185TH Ave Suite 220
Aloha, OR 97006
Phone
(503) 746-4770
Fax
(503) 746-4915
NPI assigned
Sep 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Mr. Heachan Lee, L.D.
Title
Denturist
Phone
(503) 746-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X DT-DO-10126667 OR Primary

Addresses

Primary practice location

4055 SW 185TH Ave Suite 220
Aloha, OR 97006

Mailing address

4055 SW 185TH Ave Suite 220
Aloha, OR 97006
Phone (503) 746-4770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1710313051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 SW 185TH AVE SUITE 220",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-746-4770",
            "fax_number": "503-746-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 SW 185TH AVE SUITE 220",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-746-4770",
            "fax_number": "503-746-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE DENTURE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HEACHAN",
        "authorized_official_title_or_position": "DENTURIST",
        "authorized_official_telephone_number": "503-746-4770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D."
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT-DO-10126667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.