Active NPI
Urie K Lee, MD, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Boulder, CO
National Provider Identifier
1982151031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 00206542
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221214002643 | CA | Order and Referring Only - Oral Surgery | 2961871983 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32375 | TX | MD | Dentist |
| 0401419565 | VA | MD | Dentist |
| 103516 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 0438000537 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 0101286380 | VA | MD | Surgery 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.