Organization Active NPI

Lee Martin, PC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1114220878
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3749 Issued in NV
Legal business name
LEE MARTIN, PC
Practice address
1471 N Jones Blvd
Las Vegas, NV 89108-1610
Phone
(702) 851-6722
Fax
(702) 636-0678
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Dr. Robin Dong Lee, DDSNPI 1952376220
Title
Owner/Dentist
Phone
(702) 851-6722

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6061 NV
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4702 NV
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3749 NV Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X S226 NV

Addresses

Primary practice location

1471 N Jones Blvd
Las Vegas, NV 89108-1610

Mailing address

1471 N Jones Blvd
Las Vegas, NV 89108-1610
Phone (702) 851-6722

Other names 1

  • Today's Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1471 N Jones Blvd
Las Vegas, NV 89108
Phone (702) 851-6722

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1114220878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 N JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081610",
            "telephone_number": "702-851-6722",
            "fax_number": "702-636-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 N JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081610",
            "telephone_number": "702-851-6722",
            "fax_number": "702-636-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MARTIN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DONG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "702-851-6722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6061",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4702",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3749",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.