Active NPI
Stephen Joe Lee, DMD
- Dentist
- Fort Campbell, KY
National Provider Identifier
1104959006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5898
- Practice address
- BLDG 2441 21St Street
US Army Dental Activity
Fort Campbell, KY 42223 - Phone
- (270) 798-8751
- Fax
- (270) 956-0266
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5898 | KY | Primary |
Addresses
Primary practice location
BLDG 2441 21St Street
US Army Dental Activity
Fort Campbell, KY 42223
Mailing address
BLDG 2441 21St Street
US Army Dental Activity
Fort Campbell, KY 42223
Phone (270) 798-8751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5898 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1104959006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDG 2441 21ST STREET",
"address_2": "US ARMY DENTAL ACTIVITY",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-798-8751",
"fax_number": "270-956-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 2441 21ST STREET",
"address_2": "US ARMY DENTAL ACTIVITY",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-798-8751",
"fax_number": "270-956-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "STEPHEN",
"middle_name": "JOE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "5898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.