Active NPI
Jennifer Kwok-Wei Lee, D.D.S.
- General Practice Dentistry
National Provider Identifier
1932389574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9539
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9539 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Lakewood, CO
- NPI 1780065797
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.