Vanessa J Lee, D.M.D. – Dentist in New Palestine, IN

Key facts

NPI: 1811022007
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 12009955 (IN)
Practice address: 5971 W US Highway 52
Suite I
New Palestine, IN 46163-9486
Phone: (317) 861-5000
NPI assigned: Feb 21, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

New Palestine Family Dentistry, PC General Practice Dentistry · New Palestine, IN · NPI 1184211856

NPD (past) Authorized official
Major Hospital General Acute Care Hospital · Shelbyville, IN · NPI 1174555692

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
12009955	IN	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Major Hospital		Past	Accepting new patients
New Palestine Family Dentistry, PC		Past since Jan 3, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	12009955	IN	Yes

Addresses

Primary practice location

5971 W US Highway 52
Suite I
New Palestine, IN 46163-9486

Mailing address

5971 W. US Highway 52
Suite I
New Palestine, IN 46163
Phone (317) 861-5000

Other identifiers

Identifier	Type	State	Issuer
200225010A	Medicaid	IN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811022007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 W. US HIGHWAY 52",
            "address_2": "SUITE I",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "46163",
            "telephone_number": "317-861-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 W US HIGHWAY 52",
            "address_2": "SUITE I",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461639486",
            "telephone_number": "317-861-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "VANESSA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200225010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Palestine, IN

All providers in New Palestine, IN · Dentist in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.