Individual provider Active NPI

Toby J Lee, D.D.S.

  • Dentist
  • Haysville, KS
National Provider Identifier
1851599641
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60487 Issued in KS
Practice address
1425 W Grand Ste 101
Haysville, KS 67060
Phone
(316) 262-0202
Fax
(316) 262-0202
NPI assigned
Jul 3, 2007
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60487 KS Primary

Addresses

Primary practice location

1425 W Grand Ste 101
Haysville, KS 67060

Mailing address

1425 W Grand Ste 101
Haysville, KS 67060
Phone (316) 262-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150909000133 KS Order and Referring Only - DentistPractitioner - Dentist 6305152265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1851599641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W GRAND STE 101",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "67060",
            "telephone_number": "316-262-0202",
            "fax_number": "316-262-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W GRAND STE 101",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "67060",
            "telephone_number": "316-262-0202",
            "fax_number": "316-262-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TOBY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haysville, KS

Sources for this page

Verify at the official NPI Registry.