Active NPI
Christine Elizabeth Lee, DMD
- Dentist
- Decatur, GA
National Provider Identifier
1801224662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014690
- Practice address
- 200 E Ponce de Leon Ave
#300
Decatur, GA 30030-3466 - Phone
- (678) 836-2113
- NPI assigned
- Oct 14, 2013
- Last updated
- Oct 14, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN014690 | GA | Primary |
Addresses
Primary practice location
200 E Ponce de Leon Ave
#300
Decatur, GA 30030-3466
Mailing address
200 E Ponce de Leon Ave
#300
Decatur, GA 30030-3466
Phone (678) 836-2113
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 |
|---|---|---|---|
| DN014690 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1801224662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E PONCE DE LEON AVE",
"address_2": "#300",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303466",
"telephone_number": "678-836-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E PONCE DE LEON AVE",
"address_2": "#300",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303466",
"telephone_number": "678-836-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTINE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-14",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.