Active NPI
Gina J Lee, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Raleigh, NC
National Provider Identifier
1851412803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 8083
- Practice address
- 10411 Moncreiffe Rd
Suite 105a
Raleigh, NC 27617-7819 - Phone
- (919) 544-9700
- Fax
- (919) 544-9002
- NPI assigned
- Apr 3, 2007
- Last updated
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 8083 | NC | Primary |
Addresses
Primary practice location
10411 Moncreiffe Rd
Suite 105a
Raleigh, NC 27617-7819
Mailing address
10805 Ashland Mill CT
Raleigh, NC 27617-7767
Phone (919) 806-3839
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8083 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Gina Lee, DDS, MDS, PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1851412803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10805 ASHLAND MILL CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276177767",
"telephone_number": "919-806-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10411 MONCREIFFE RD",
"address_2": "SUITE 105A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276177819",
"telephone_number": "919-544-9700",
"fax_number": "919-544-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GINA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "8083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.