Organization Active NPI

Jim Lee DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alexandria, VA
National Provider Identifier
1750739892
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401414622 Issued in VA
Legal business name
JIM LEE DDS PC
Practice address
2616 Sherwood Hall LN
Suite #301
Alexandria, VA 22306-3100
Phone
(202) 423-8867
NPI assigned
May 31, 2016
Last updated
May 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Dr. Jim Ming an Lee, DDSNPI 1003259631
Title
President
Phone
(202) 423-8867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 0401414622 VA Primary

Addresses

Primary practice location

2616 Sherwood Hall LN
Suite #301
Alexandria, VA 22306-3100

Mailing address

7515 Collins Meade Way
Alexandria, VA 22315-5251
Phone (202) 423-8867

National Provider Directory

National Provider Directory

Locations

2616 Sherwood Hall Ln
Ste 301
Alexandria, VA 22306
Phone (202) 423-8867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1750739892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 COLLINS MEADE WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155251",
            "telephone_number": "202-423-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE #301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "202-423-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM LEE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "MING AN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-423-8867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401414622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.