James Earl Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1643 Issued in SC

Practice address

611 Church St
Conway, SC 29526-4823

Phone

(843) 248-4115

Fax

(843) 248-6145

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Conway Family Dentistry, LLC

  • Dental Clinic/Center
  • Conway, SC
  • NPI 1386295012
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124046271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CHURCH ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264823",
            "telephone_number": "843-248-4115",
            "fax_number": "843-248-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CHURCH ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264823",
            "telephone_number": "843-248-4115",
            "fax_number": "843-248-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995201",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z16439",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROV.",
            "identifier": "881-716",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia C Lawson, D.M.D.
• Candy Lynn Leadem, CRNA
• Elasha Lavone Leary, MA
• Allie Leatherwood
• Gwendolyn R. Lee, CCNS, APRN
• Robert Earl Lee, PT, DPT
• Tasha Lee, DNP, FNP-BC
• Erika Sue Leech, DO
• Meredith L Lefler
• Matthew David Leggett

• General Practice Dentistry in Conway, SC
• Providers in Conway, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.