Individual provider Active NPI

Urie K Lee, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Boulder, CO
National Provider Identifier
1982151031
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
00206542 Issued in CO
Practice address
2625 28TH St Ste 200
Boulder, CO 80301-1263
Phone
(303) 341-7151
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9533 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0438000537 VA
Surgery Physician 208600000X 0101286380 VA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 103516 CA
Dentist 122300000X 0401419565 VA
Facial Plastic Surgery Physician 207YS0123X 0076987 CO
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 00206542 CO Primary
Dentist 122300000X 32375 TX

Addresses

Primary practice location

2625 28TH St Ste 200
Boulder, CO 80301-1263

Mailing address

2625 28TH St Ste 200
Boulder, CO 80301-1263
Phone (303) 341-7151

Other practice location 1

2051 Marengo St # A3C
Los Angeles, CA 90033-1352
Phone (424) 232-6945

Other practice location 2

2435 Mandeville Ln Ste 230
Alexandria, VA 22314-6174
Phone (571) 398-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221214002643 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961871983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32375TXMDDentist
0401419565VAMDDentist
103516CAMDOral and Maxillofacial Surgery (Dentist)
0438000537VAMDOral and Maxillofacial Surgery (Dentist)
0101286380VAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1982151031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 28TH ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011263",
            "telephone_number": "303-341-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 28TH ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011263",
            "telephone_number": "303-341-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Marengo St # A3C",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331352",
            "country_code": "US",
            "telephone_number": "424-232-6945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2435 Mandeville Ln Ste 230",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223146174",
            "country_code": "US",
            "telephone_number": "571-398-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "URIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "9533",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000537",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101286380",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "103516",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419565",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CO",
            "license": "0076987",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CO",
            "license": "00206542",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.