Organization Active NPI

Lee & Van Mieghem DDS PLLC

  • General Practice Dentistry
  • Lynnwood, WA
National Provider Identifier
1740326735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEE & VAN MIEGHEM DDS PLLC
Practice address
19718 68TH Ave W
Suite G
Lynnwood, WA 98036-5965
Phone
(425) 778-6677
Fax
(425) 774-1258
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen R Lee, D.D.S.NPI 1710023726
Title
Partner
Phone
(425) 778-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

19718 68TH Ave W
Suite G
Lynnwood, WA 98036-5965

Mailing address

19718 68TH Ave W
Suite G
Lynnwood, WA 98036-5965
Phone (425) 778-6677

National Provider Directory

National Provider Directory

Locations

19718 68th Ave W
Ste G
Lynnwood, WA 98036
Phone (425) 778-6677

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740326735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19718 68TH AVE W",
            "address_2": "SUITE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365965",
            "telephone_number": "425-778-6677",
            "fax_number": "425-774-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19718 68TH AVE W",
            "address_2": "SUITE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365965",
            "telephone_number": "425-778-6677",
            "fax_number": "425-774-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE & VAN MIEGHEM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "425-778-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.