NPIMap

Organization Active NPI

Jaeik Lee DMD PC

  • Clinic/Center
  • Saugus, MA
National Provider Identifier
1982085908
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
22270 Issued in MA
Legal business name
JAEIK LEE DMD PC
Practice address
467 Essex St
Saugus, MA 01906-4144
Phone
(617) 842-2875
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Jaeik Lee, DMDNPI 1487819660
Title
Dentist
Phone
(617) 842-2875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 22270 MA Primary

Addresses

Primary practice location

467 Essex St
Saugus, MA 01906-4144

Mailing address

467 Essex St
Saugus, MA 01906-4144
Phone (617) 842-2875

Other names 1

  • Essex Street Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

467 Essex St
Saugus, MA 01906
Phone (617) 842-2875

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1982085908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 ESSEX ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064144",
            "telephone_number": "617-842-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 ESSEX ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064144",
            "telephone_number": "617-842-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAEIK LEE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAEIK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-842-2875",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "22270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex Street Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.