Organization Active NPI

Kwan Lee DDS PLLC

  • Dental Clinic/Center
  • Federal Way, WA
National Provider Identifier
1902439912
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KWAN LEE DDS PLLC
Practice address
34616 11TH PL S Ste 4
Federal Way, WA 98003-8705
Phone
(253) 941-2214
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Kwan Moo Lee, DDS
Title
President
Phone
(253) 347-8072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

34616 11TH PL S Ste 4
Federal Way, WA 98003-8705

Mailing address

34616 11TH PL S Ste 4
Federal Way, WA 98003-8705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1902439912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34616 11TH PL S STE 4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34616 11TH PL S STE 4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038705",
            "telephone_number": "253-941-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWAN LEE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KWAN",
        "authorized_official_middle_name": "MOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-347-8072",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.