Active NPI
Christie Kim Lee, D.M.D.
- Pediatric Dentistry
- Edmonds, WA
National Provider Identifier
1871812818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 60465465
- Practice address
- 10032 Edmonds Way Ste 102
Edmonds, WA 98020-5169 - Phone
- (425) 202-5877
- NPI assigned
- May 28, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 60465465 | WA | Primary |
Addresses
Primary practice location
10032 Edmonds Way Ste 102
Edmonds, WA 98020-5169
Mailing address
6536 55TH Ave NE
Seattle, WA 98115-7825
Phone (703) 447-5597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60465465 | Other | WA | DENTAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | drchristielee@gmail.com | Direct |
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 |
|---|---|---|---|
| 60465465 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Lee DMD PLLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
10032 Edmonds Way
Ste 102
Edmonds, WA 98020
Phone (425) 202-5877
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Edmonds, WA
- NPI 1265019905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1871812818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6536 55TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981157825",
"telephone_number": "703-447-5597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10032 EDMONDS WAY STE 102",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980205169",
"telephone_number": "425-202-5877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTIE",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-28",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "60465465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "60465465",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "drchristielee@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "text",
"address_1": "10032 Edmonds Way Ste 102",
"city": "Edmonds",
"state": "WA",
"country_code": "US",
"postal_code": "980205169",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.