Active NPI
Hea Chan Lee, L.D.
- Denturist
- Aloha, OR
National Provider Identifier
1760611958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DTD010126667
- Practice address
- 4055 SW 185TH Ave
220
Aloha, OR 97007 - Phone
- (503) 746-4770
- Fax
- (503) 746-4915
- NPI assigned
- Jul 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DTD010126667 | OR | Primary |
Addresses
Primary practice location
4055 SW 185TH Ave
220
Aloha, OR 97007
Mailing address
4055 SW 185TH Ave
220
Aloha, OR 97007-1567
Phone (503) 746-4770
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
| License | State | Type | Specialty |
|---|---|---|---|
| DTD010126667 | OR | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1760611958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 SW 185TH AVE",
"address_2": "220",
"city": "ALOHA",
"state": "OR",
"postal_code": "970071567",
"telephone_number": "503-746-4770",
"fax_number": "503-746-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 SW 185TH AVE",
"address_2": "220",
"city": "ALOHA",
"state": "OR",
"postal_code": "97007",
"telephone_number": "503-746-4770",
"fax_number": "503-746-4915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HEA CHAN",
"credential": "L.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-08",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "OR",
"license": "DTD010126667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.