Active NPI
Jin U Lee, DPD
- Denturist
- Lynnwood, WA
National Provider Identifier
1922293471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN00000448
- Practice address
- 18009 Hwy 99 Ste C
Lynnwood, WA 98037-4499 - Phone
- (425) 672-8494
- NPI assigned
- Sep 7, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Denturist | 122400000X | DN00000448 | WA | Primary |
Addresses
Primary practice location
18009 Hwy 99 Ste C
Lynnwood, WA 98037-4499
Mailing address
18009 Hwy 99 Ste C
Lynnwood, WA 98037-4499
Phone (425) 672-8494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5053442 | Medicaid | WA |
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 |
|---|---|---|---|
| DN00000448 | WA | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1922293471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18009 HWY 99 STE C",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980374499",
"telephone_number": "425-672-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18009 HWY 99 STE C",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980374499",
"telephone_number": "425-672-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JIN",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "DPD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN00000448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5053442",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.