Kendall J Lee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901016082 Issued in MI

Practice address

111 South Howell St
Hillsdale, MI 48242

Phone

(517) 439-5710

Fax

(517) 439-5705

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kendall J Lee DDS PLLC

  • Dental Clinic/Center
  • Hillsdale, MI
  • NPI 1245837806
  NPD Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720194913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SOUTH HOWELL ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "48242",
            "telephone_number": "517-439-5710",
            "fax_number": "517-439-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SOUTH HOWELL ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "48242",
            "telephone_number": "517-439-5710",
            "fax_number": "517-439-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KENDALL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032017",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin Kwon, D.D.S.
• Larissa Laidler
• Kayla R Lange
• LDK III Holdings, LLC
• Craig Thomas Lee, PHARMD, R.PH.
• Stacy Janelle Lee, FNP
• Zachary James Lee, DDS
• Arla Jean Leininger, BA
• Tamara Brooke Lemons, CRNA
• Lesley B McConville MD PLC

• Dentist in Hillsdale, MI
• Providers in Hillsdale, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.