Jakob Douglas Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601651 Issued in MI

Practice address

898 44TH St SW
Grandville, MI 49418-9508

Phone

(616) 669-5595

Fax

(888) 453-2029

NPI assigned

Jun 13, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Legacy Dental Associates

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1639030307
  NPD Authorized official
• Erik J. Lee D.D.S PLLC

  • General Practice Dentistry
  • Grandville, MI
  • NPI 1417683889
  NPD

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1871277574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494189508",
            "telephone_number": "616-669-5595",
            "fax_number": "888-453-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494189508",
            "telephone_number": "616-669-5595",
            "fax_number": "888-453-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAKOB",
        "middle_name": "DOUGLAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Lavengood, LPC
• Patricia Lawrence-Bartel, CCC-SLP
• Floressa Laynesa
• Kaylie Leasher
• Erik John Lee, D.D.S.
• Ian Edward Lehman, PA-C
• Kirsten Lein, LPC
• Ashley Lenar
• Paige Alexis Lenters, BT
• Maylee McKay Levandoski

• General Practice Dentistry in Grandville, MI
• Providers in Grandville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.