Individual provider Active NPI

Christie Kim Lee, D.M.D.

  • Pediatric Dentistry
  • Edmonds, WA
National Provider Identifier
1871812818
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
60465465 Issued in WA
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

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
60465465OtherWADENTAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
60465465WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Christie Lee DMD PLLC Pediatric Dentistry CurrentSince Apr 6, 2021 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.

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.

Verify at the official NPI Registry.