DR. SORA LEE (NPI# 1235339466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235339466 |
| Entity Type | Individual |
| Full Name | DR. SORA LEE |
| Credential | DDS |
| Practice Address |
11230 Waples Mill Rd 160 Fairfax VA 22030-6087 |
| Mailing Address |
9038 Royal Estates Dr Vienna VA 22182-1765 |
| Practice Telephone | 7036912221 |
| Practice Fax Number | 7036913215 |
| Mailing Telephone | 7034156922 |
| Mailing Fax Number | 8668551914 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401411589 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285262527 | Sora Lee | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2020-03-31 |
| 1215428396 | Sora Julie Lee | Dietitian, Registered | 6900 N Pecos Rd, North Las Vegas, NV 89086 | 2018-05-23 |
| 1336489566 | Sora Lee | Behavioral Analyst | 12443 Lewis St, Suite #201, Garden Grove, CA 92840-4650 | 2013-02-25 |
| 1891939237 | Sora Lee | Internal Medicine | 18370 Burbank Blvd Ste 211, Tarzana, CA 91356-2854 | 2009-04-29 |
| 1508022013 | Sora Lee | Counselor | 7273 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2008-08-04 |
| Street Address |
11230 WAPLES MILL RD 160 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205805058 | Andrew Anthony Prishack | Physical Therapist | 11230 Waples Mill Rd, Suite 130, Fairfax, VA 22030-6087 | 2006-03-15 |
| 1942731153 | Aimee Evans | Speech-Language Pathologist | 11230 Waples Mill Rd, Fairfax, VA 22030-6087 | 2017-03-21 |
| 1497162093 | Laurie Loope Miller | Social Worker | 11230 Waples Mill Rd, Suite 100, Fairfax, VA 22030-6087 | 2014-07-15 |
| 1497186068 | Medical Management of Va | Dentist | 11230 Waples Mill Rd, Suite 125, Fairfax, VA 22030-6087 | 2013-12-09 |
| 1467884411 | Hannah Marie Ojard | Social Worker | 11230 Waples Mill Rd, Suite 100, Fairfax, VA 22030-6087 | 2013-08-01 |
| 1245598085 | Medical Management of Virginia, LLC | Clinic/Center | 11230 Waples Mill Rd, Suite 125, Fairfax, VA 22030-6087 | 2012-04-30 |
| 1104078765 | Hallie E Fleisch | Social Worker | 11230 Waples Mill Rd, Fairfax, VA 22030-6087 | 2008-10-15 |
| 1750547063 | Meagan Konkol | Physical Therapist | 11230 Waples Mill Rd, Suite 130, Fairfax, VA 22030-6087 | 2008-08-06 |
| 1851551311 | Malvolia La Frances Gregory | Counselor | 11230 Waples Mill Rd, Suite 105, Fairfax, VA 22030-6087 | 2008-06-09 |
| 1710145461 | Jennifer Anne Shaw | Counselor | 11230 Waples Mill Rd, Suite 105, Fairfax, VA 22030-6087 | 2008-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1235585936 | Ji Youn Lim | Dentist | 4210 Fairfax Corner Ave W Ste 245, Fairfax, VA 22030-8627 | 2016-05-11 |
| 1740616275 | Ignacio Blasi Beriain Jr. | Dentist | 3224 Cambridge Ct, Fairfax, VA 22030-1912 | 2013-09-16 |
| 1467779900 | Eunyoung Kim | Dentist | 10522 Rosehaven St, 113, Fairfax, VA 22030-2860 | 2010-04-23 |
| 1891931143 | Christine Kim | Dentist | 10614 Warwick Ave Ste B, Fairfax, VA 22030-3060 | 2008-12-16 |
| 1285788810 | James M Mcdonough | Dentist | 9508b Lee Hwy, Fairfax, VA 22031-2303 | 2007-01-22 |
| 1447707260 | Eric Jihun Kim | Dentist | 10611 Braddock Rd, Fairfax, VA 22032-2201 | 2016-09-09 |
| 1285807370 | My Braces Doctor, PC | Dentist | 10721 Main St, #300, Fairfax, VA 22030-6914 | 2008-04-09 |
| 1598958142 | Jade Tran | Dentist | 4211 Fairfax Corner Ave E, Suite 235, Fairfax, VA 22030-8622 | 2007-08-27 |
| 1306917604 | Garret Djeu | Dentist | 10875 Main St, #106, Fairfax, VA 22030-4732 | 2006-11-10 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.