Individual provider Active NPI

Elizabeth Anderson Lee, D.D.S.

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1720218282
Registry record updated Jul 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7469 Issued in VA
Practice address
5700 Old Richmond Ave
Suite D-17
Richmond, VA 23226-1828
Phone
(804) 288-4526
Fax
(804) 288-3756
NPI assigned
Jul 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2009

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 7469 VA Primary

Addresses

Primary practice location

5700 Old Richmond Ave
Suite D-17
Richmond, VA 23226-1828

Mailing address

5700 Old Richmond Ave
Suite D-17
Richmond, VA 23226-1828
Phone (804) 288-4526

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
7469VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1247961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247961600000",
    "number": "1720218282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 OLD RICHMOND AVE",
            "address_2": "SUITE D-17",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261828",
            "telephone_number": "804-288-4526",
            "fax_number": "804-288-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 OLD RICHMOND AVE",
            "address_2": "SUITE D-17",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261828",
            "telephone_number": "804-288-4526",
            "fax_number": "804-288-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELIZABETH",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-19",
        "last_updated": "2009-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "7469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.