Individual provider Active NPI

Jennifer Kwok-Wei Lee, D.D.S.

  • General Practice Dentistry
National Provider Identifier
1932389574
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9539 Issued in CO
Practice address
241 Old Tecumseh Rd.
Tecumseh, ONTARIO N8N 3S9
CA
Phone
(720) 240-1028
Fax
(519) 979-9074
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9539 CO Primary

Addresses

Primary practice location

241 Old Tecumseh Rd.
Tecumseh, ONTARIO N8N 3S9
CA

Mailing address

74 - 7TH Ave
Sioux Lookout, ONTARIO P8T 1C2
CA
Phone (807) 737-3353

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9539COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Dental Group Prof. LLC Past Accepting new patients

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1932389574",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "74 - 7TH AVE",
            "city": "SIOUX LOOKOUT",
            "state": "ONTARIO",
            "postal_code": "P8T 1C2",
            "telephone_number": "807-737-3353",
            "fax_number": "807-737-3263"
        },
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "241 OLD TECUMSEH RD.",
            "city": "TECUMSEH",
            "state": "ONTARIO",
            "postal_code": "N8N 3S9",
            "telephone_number": "720-240-1028",
            "fax_number": "519-979-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "middle_name": "KWOK-WEI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.