Individual provider Active NPI

Norman En-Shih Lee, DMD

  • Periodontics
  • Newton, MA
National Provider Identifier
1851468060
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
20600 Issued in MA
Practice address
345 Boylston St Ste 401
Newton, MA 02459-2863
Phone
(617) 277-9800
Fax
(617) 277-5396
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 20600 MA Primary

Addresses

Primary practice location

345 Boylston St Ste 401
Newton, MA 02459-2863

Mailing address

345 Boylston St Ste 401
Newton, MA 02459-2863
Phone (172) 779-8006

Other identifiers 1

IdentifierTypeStateIssuer
042488269OtherMATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605001857 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204157969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20600MAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Gold, Moini & Witzenberger, P.C. Periodontics Past Accepting new patients
Anthony T Quinta DMD LLC Periodontics Past Accepting new patients

Organizations & group practices 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1851468060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BOYLSTON ST STE 401",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592863",
            "telephone_number": "172-779-8006",
            "fax_number": "172-775-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BOYLSTON ST STE 401",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592863",
            "telephone_number": "617-277-9800",
            "fax_number": "617-277-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NORMAN",
        "middle_name": "EN-SHIH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "20600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "042488269",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.