Active NPI
Kie D. Lee, DDS
- Dentist
- Springfield, VA
National Provider Identifier
1871785022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401005616
- Practice address
- 6220 Old Keene Mill CT
Springfield, VA 22152-2323 - Phone
- (703) 569-8000
- Fax
- (703) 569-9420
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- 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 | 0401005616 | VA | Primary |
Addresses
Primary practice location
6220 Old Keene Mill CT
Springfield, VA 22152-2323
Mailing address
6220 Old Keene Mill CT
Springfield, VA 22152-2323
Phone (703) 569-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140728000809 | DC | Practitioner - Oral Surgery | 5092931022 | Practice locations: Springfield, VA |
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": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1871785022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 OLD KEENE MILL CT",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221522323",
"telephone_number": "703-569-8000",
"fax_number": "703-569-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 OLD KEENE MILL CT",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221522323",
"telephone_number": "703-569-8000",
"fax_number": "703-569-9420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KIE",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401005616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.