Rand A Lee

Primary specialty

DentistTaxonomy code 122300000X

License

3260 Issued in WI

Practice address

3103 75TH St
Kenosha, WI 53142-4443

Phone

(262) 694-6055

Fax

(262) 694-9818

NPI assigned

Feb 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Rand Lee, SC

  • General Practice Dentistry
  • Kenosha, WI
  • NPI 1780721654
  NPD (past) Authorized official

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1861765836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424443",
            "telephone_number": "262-694-6055",
            "fax_number": "262-694-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424443",
            "telephone_number": "262-694-6055",
            "fax_number": "262-694-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RAND",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "3260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrie Ruth Lee, MSW, LCSW, SAC
• David Ansel Lee, DMD
• Drew Eunki Lee, M.D.
• Emily Ann Lee, PA-C
• Jennifer Lee
• Ann Marie Leeder, FNP-BC
• Debra Lehocky
• Sandra Leicht, APNP
• Leilane U Sta Romana MDSC
• Alexandra Lelchuk, MD

• Dentist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.