Organization Active NPI

Emily Lee DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sparks, NV
National Provider Identifier
1043474158
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EMILY LEE DDS PC
Practice address
685 E Prater Way
Suite #103
Sparks, NV 89431-4681
Phone
(775) 358-4600
Fax
(775) 358-4660
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
William Dale Demberecky
Title
Evp & Chief Strategy and Growth
Phone
(714) 571-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

685 E Prater Way
Suite #103
Sparks, NV 89431-4681

Mailing address

685 E Prater Way
Suite #103
Sparks, NV 89431-4681
Phone (775) 358-4600

Other names 1

  • Western Dental of Nevada Other name

National Provider Directory

National Provider Directory
Tax ID family
Emily Lee DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

685 E Prater Way
Ste 103
Sparks, NV 89431
Phone (775) 358-4600

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1043474158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 E PRATER WAY",
            "address_2": "SUITE #103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894314681",
            "telephone_number": "775-358-4600",
            "fax_number": "775-358-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 E PRATER WAY",
            "address_2": "SUITE #103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894314681",
            "telephone_number": "775-358-4600",
            "fax_number": "775-358-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY LEE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "DEMBERECKY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "EVP & CHIEF STRATEGY AND GROWTH",
        "authorized_official_telephone_number": "714-571-2140"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Dental of Nevada",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Western Dental of Nevada",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.