Organization Active NPI

Daniel & Esther Lee, DDS, PC

  • Dentist
  • Beaverton, OR
National Provider Identifier
1972878221
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9251 Issued in OR
Legal business name
DANIEL & ESTHER LEE, DDS, PC
Practice address
17895 NW Evergreen Pkwy
Suite 150
Beaverton, OR 97006-7402
Phone
(503) 533-9868
Fax
(503) 533-9508
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Daniel B Lee, D.D.S.
Title
Dentist
Phone
(503) 533-9868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D9251 OR Primary

Addresses

Primary practice location

17895 NW Evergreen Pkwy
Suite 150
Beaverton, OR 97006-7402

Mailing address

17895 NW Evergreen Pkwy
Suite 150
Beaverton, OR 97006-7402
Phone (503) 533-9868

Other names 1

  • Tanasbourne Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1972878221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17895 NW EVERGREEN PKWY",
            "address_2": "SUITE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067402",
            "telephone_number": "503-533-9868",
            "fax_number": "503-533-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17895 NW EVERGREEN PKWY",
            "address_2": "SUITE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067402",
            "telephone_number": "503-533-9868",
            "fax_number": "503-533-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL & ESTHER LEE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-533-9868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tanasbourne Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.