Lindsay Brianna Lee, RDH – Dental Hygienist

Key facts

NPI: 1831604677
Entity type: Individual (NPI type 1)
Primary specialty: Dental Hygienist 124Q00000X
License: 11558 (KS)
Practice address: 18409 Juniper Ter
Gardner, KS 66030-9149
Phone: (913) 272-8784
NPI assigned: Dec 1, 2017
Sex: Female
Sole proprietor: Yes

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
11558	KS	MD	Dental Hygienist
2013017952	MO	MD	Dental Hygienist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dental Hygienist	124Q00000X	2013017952	MO
Dental Hygienist	124Q00000X	11558	KS	Yes

Addresses

Primary practice location

18409 Juniper Ter
Gardner, KS 66030-9149

Mailing address

18409 Juniper Ter
Gardner, KS 66030-9149
Phone (913) 272-8784

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2017.

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1831604677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18409 JUNIPER TER",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660309149",
            "telephone_number": "913-272-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18409 JUNIPER TER",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660309149",
            "telephone_number": "913-272-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LINDSAY",
        "middle_name": "BRIANNA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2013017952",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KS",
            "license": "11558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, KS

All providers in Gardner, KS · Dental Hygienist in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2017. 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.