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HERIETTA LEE
NPI 1750945788
Dentist - General Practice in Frederick, MD

Active since April 25, 2019PECOS Enrolled
196 THOMAS JOHNSON DR STE 130, FREDERICK, MD 21702(301) 663-5552 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 13, 2022, Jun 23, 2020, Apr 25, 2019 (3 updates tracked since 2019).

About Herietta Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERIETTA LEE (NPI 1750945788) is an individual general practice provider in Frederick, Maryland, licensed in Maryland (16884) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Germantown, and is a graduate of University Of Maryland At Baltimore School Of Dentistry (2019).

NPPES Registry Identity

NPI1750945788
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameHERIETTA LEE
Location Address196 THOMAS JOHNSON DR STE 130Frederick, MD 21702-4519
Mailing Address10201 Washingtonian Blvd Apt 429Gaithersburg, MD 20878-8309 · (240) 644-7779
Phone(301) 663-5552
Sole ProprietorYes
Medical School CMSUniversity Of Maryland At Baltimore School Of DentistryGraduated 2019
Enumeration DateApril 25, 2019
Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1750945788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 16884
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
196 THOMAS JOHNSON DR STE 130, Frederick, MD 21702
Open in Google Maps ↗

Secondary Practice Location 1

Location 120400 Observation Dr Ste 208Germantown, MD 20876-4087 · Phone (301) 528-8685

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Herietta Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092045245
PECOS Enrollment IDI20260521002456
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVA FARAHBAKHSH DARABI DDS
Dentist
196 THOMAS JOHNSON DR STE 130
FREDERICK, MD 21702
Frederick County (301) 663-5552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Herietta Lee's NPI number?

The NPI number for Herietta Lee is 1750945788. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Herietta Lee located?

Herietta Lee practices at 196 Thomas Johnson Dr Ste 130, Frederick, MD 21702. The listed phone number is (301) 663-5552.

What is Herietta Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Herietta Lee enrolled in Medicare?

Yes. Herietta Lee is registered in the Medicare PECOS enrollment system.

What insurance does Herietta Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Herietta Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Herietta Lee was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.