Active NPI
Keona Lee, DMD
- Dentist
- Carmel, IN
National Provider Identifier
1871478750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12014723A
- Practice address
- 1040 N Rangeline Rd
Carmel, IN 46032-1469 - Phone
- (317) 846-3436
- NPI assigned
- Aug 8, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12014723A | IN | Primary |
Addresses
Primary practice location
1040 N Rangeline Rd
Carmel, IN 46032-1469
Mailing address
2681 Newington LN
Carmel, IN 46074-5847
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 |
|---|---|---|---|
| 12014723A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1871478750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2681 NEWINGTON LN",
"city": "CARMEL",
"state": "IN",
"postal_code": "460745847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 N RANGELINE RD",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321469",
"telephone_number": "317-846-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KEONA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12014723A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.