Individual provider Active NPI

Abert K Lee, D.D.S.

  • General Practice Dentistry
  • Kent, WA
National Provider Identifier
1720063696
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9987 Issued in WA
Practice address
314 4TH Ave S
Kent, WA 98032-5836
Phone
(253) 859-2111
NPI assigned
Dec 13, 2005
Last updated
May 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9987 WA Primary

Addresses

Primary practice location

314 4TH Ave S
Kent, WA 98032-5836

Mailing address

314 4TH Ave S
Kent, WA 98032-5836
Phone (253) 859-2111

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherWAPLEASE LINK TIN WITH SSN

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

LicenseStateTypeSpecialty
9987WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Abert Lee DDS PLLC Current Accepting new patients

Locations

314 4th Ave S
Kent, WA 98032
Phone (253) 859-2111

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1720063696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 4TH AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325836",
            "telephone_number": "253-859-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 4TH AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325836",
            "telephone_number": "253-859-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ABERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLEASE LINK TIN WITH SSN",
            "identifier": "$$$$$$$$$",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.