Active NPI
Esther Lee, D.D.S.
- General Practice Dentistry
- Chantilly, VA
National Provider Identifier
1942609763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401008865
- Practice address
- 4080 Lafayette Center Dr
200
Chantilly, VA 20151-1247 - Phone
- (703) 961-0225
- Fax
- (703) 961-0227
- NPI assigned
- Aug 18, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401008865 | VA | Primary |
Addresses
Primary practice location
4080 Lafayette Center Dr
200
Chantilly, VA 20151-1247
Mailing address
4080 Lafayette Center Dr
200
Chantilly, VA 20151-1247
Phone (703) 961-0225
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 |
|---|---|---|---|
| 0401008865 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pleasant Valley Dental LLC | General Practice | 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.
-
- General Practice Dentistry
- Chantilly, VA
- NPI 1265487151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1942609763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 LAFAYETTE CENTER DR",
"address_2": "200",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511247",
"telephone_number": "703-961-0225",
"fax_number": "703-961-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 LAFAYETTE CENTER DR",
"address_2": "200",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511247",
"telephone_number": "703-961-0225",
"fax_number": "703-961-0227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ESTHER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401008865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.