Organization Active NPI

Shawn M. Lee DDS, PA

  • General Practice Dentistry
  • Rogers, AR
National Provider Identifier
1083715551
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2851 Issued in AR
Legal business name
SHAWN M. LEE DDS, PA
Practice address
806 N 20TH PL
Rogers, AR 72756-3497
Phone
(479) 636-8000
NPI assigned
Sep 26, 2006
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Shawn Lee, DDSNPI 1285735704
Title
President
Phone
(479) 636-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2851 AR Primary

Addresses

Primary practice location

806 N 20TH PL
Rogers, AR 72756-3497

Mailing address

806 N 20TH PL
Rogers, AR 72756-3497
Phone (479) 636-8000

National Provider Directory

National Provider Directory

Locations

806 N 20th Pl
Rogers, AR 72756
Phone (479) 636-8000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1083715551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N 20TH PL",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563497",
            "telephone_number": "479-636-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N 20TH PL",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563497",
            "telephone_number": "479-636-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN M. LEE DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-636-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.