Active NPI
Joohee Lee, RDH
- Dental Hygienist
- Fort Leonard Wood, MO
National Provider Identifier
1790935435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 12785
- Practice address
- 6958 Nebraska Ave
Fort Leonard Wood, MO 65473-1618 - Phone
- (573) 596-0364
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 12785 | TX | Primary |
Addresses
Primary practice location
6958 Nebraska Ave
Fort Leonard Wood, MO 65473-1618
Mailing address
6958 Nebraska Ave
Fort Leonard Wood, MO 65473-1618
Phone (573) 596-0364
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 |
|---|---|---|---|
| 12785 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1790935435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6958 NEBRASKA AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654731618",
"telephone_number": "573-596-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6958 NEBRASKA AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654731618",
"telephone_number": "573-596-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOOHEE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "12785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.