Individual provider Active NPI

Joshua Jae-Joon Lee, DMD

  • Prosthodontics
  • Burlington, MA
National Provider Identifier
1831400555
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN1856039 Issued in MA
Practice address
279 Cambridge St Ste 9
Burlington, MA 01803
Phone
(781) 272-5080
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL10953 MA
Dentist 122300000X DN1856039 MA
Prosthodontics 1223P0700X DN1956039 MA
Prosthodontics 1223P0700X DN1856039 MA Primary

Addresses

Primary practice location

279 Cambridge St Ste 9
Burlington, MA 01803

Mailing address

279 Cambridge St Ste 9
Burlington, MA 01803-2549
Phone (781) 272-5080

Other practice location 1

188 Longwood Ave
Attn: Prosthodontics
Boston, MA 02115-5819
Phone (617) 432-1443

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

LicenseStateTypeSpecialty
DL10953MAMDDentist
DN1856039MAMDDentist
DN1956039MAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua J Lee DMD LLC Dentist Current Accepting new patients

Locations

279 Cambridge St
Ste 9
Burlington, MA 01803
Phone (781) 272-5080

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1831400555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 CAMBRIDGE ST STE 9",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032549",
            "telephone_number": "781-272-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 CAMBRIDGE ST STE 9",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01803",
            "telephone_number": "781-272-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Longwood Ave",
            "address_2": "Attn: Prosthodontics",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155819",
            "country_code": "US",
            "telephone_number": "617-432-1443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSHUA",
        "middle_name": "JAE-JOON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL10953",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856039",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1956039",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1856039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.