Individual provider Active NPI

Charles Lee, DDS

  • Dentist
  • Westborough, MA
National Provider Identifier
1831658418
Registry record updated Nov 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1858317 Issued in MA
Practice address
76 Otis St
Westborough, MA 01581
Phone
(508) 870-1911
NPI assigned
Mar 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN1858317 MA Primary

Addresses

Primary practice location

76 Otis St
Westborough, MA 01581

Mailing address

200 5TH Ave FL 3
Waltham, MA 02451-8759

Other practice location 1

14220 Avalon Dr
Northborough, MA 01532-2177
Phone (716) 392-5903

Other practice location 2

943 Grafton St
Worcester, MA 01604
Phone (508) 752-1400

Other practice location 3

943 Grafton St
Worcester, MA 01604
Phone (508) 752-1400

Other practice location 4

943 Grafton St
Worcester, MA 01604
Phone (508) 752-1400

Other practice location 5

943 Grafton St
Worcester, MA 01604
Phone (508) 752-1400

Other practice location 6

76 Otis St
Westborough, MA 01581
Phone (508) 870-1911

Other practice location 7

76 Otis St
Westborough, MA 01581-3315
Phone (508) 870-1911

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
DN1858317MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Dreams LLC Dentist Past Accepting new patients

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572652800000",
    "number": "1831658418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 5TH AVE FL 3",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 OTIS ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-870-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14220 Avalon Dr",
            "address_purpose": "LOCATION",
            "city": "Northborough",
            "state": "MA",
            "postal_code": "015322177",
            "country_code": "US",
            "telephone_number": "716-392-5903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "943 Grafton St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01604",
            "country_code": "US",
            "telephone_number": "508-752-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "943 Grafton St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01604",
            "country_code": "US",
            "telephone_number": "508-752-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "943 Grafton St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01604",
            "country_code": "US",
            "telephone_number": "508-752-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "943 Grafton St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01604",
            "country_code": "US",
            "telephone_number": "508-752-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "76 Otis St",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "01581",
            "country_code": "US",
            "telephone_number": "508-870-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "76 Otis St",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015813315",
            "country_code": "US",
            "telephone_number": "508-870-1911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; 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.