NPIMap

Organization Active NPI

Donald Y. Lee DDS PS

  • Ambulatory Surgical Clinic/Center
  • Bellevue, WA
National Provider Identifier
1841355872
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
GA 10000276 Issued in WA
Legal business name
DONALD Y. LEE DDS PS
Practice address
4957 Lakemont Blvd SE, C-4
Bellevue, WA 98006-7801
Phone
(425) 401-1366
Fax
(425) 223-5612
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Donald Lee, DDS, PS
Title
President
Phone
(425) 401-1366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X GA 10000276 WA Primary
Dental Clinic/Center 261QD0000X DE00008487 WA

Addresses

Primary practice location

4957 Lakemont Blvd SE, C-4
Bellevue, WA 98006-7801

Mailing address

4957 Lakemont Blvd SE, C-4
Bellevue, WA 98006-7801
Phone (425) 401-1366

Other identifiers 1

IdentifierTypeStateIssuer
5032768MedicaidWA

Other names 1

  • Pleasant Dreams Dental Anesthesia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donald Y Lee DDS PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1841355872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 LAKEMONT BLVD SE, C-4",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980067801",
            "telephone_number": "425-401-1366",
            "fax_number": "425-223-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 LAKEMONT BLVD SE, C-4",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980067801",
            "telephone_number": "425-401-1366",
            "fax_number": "425-223-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD Y. LEE DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-401-1366",
        "authorized_official_credential": "DDS, PS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "GA 10000276",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00008487",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5032768",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Dreams Dental Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.