Active NPI
Sheryl Lee
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1144680406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 059232
- Practice address
- 2001 E 55TH St
Brooklyn, NY 11234-4716 - Phone
- (718) 338-4177
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 059232 | NY | Primary |
Addresses
Primary practice location
2001 E 55TH St
Brooklyn, NY 11234-4716
Mailing address
273 Driggs Ave Apt 2R
Brooklyn, NY 11222-3914
Phone (732) 593-7187
Other practice location 1
319 6th Ave
Brooklyn, NY 11215-2905
Phone (718) 369-2300
Other practice location 2
13620 38th Ave
Flushing, NY 11354-4277
Phone (718) 888-9118
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 |
|---|---|---|---|
| 059232 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Oak Dental Care | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144680406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 DRIGGS AVE APT 2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112223914",
"telephone_number": "732-593-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 E 55TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344716",
"telephone_number": "718-338-4177"
}
],
"practiceLocations": [
{
"address_1": "319 6th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112152905",
"country_code": "US",
"telephone_number": "718-369-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13620 38th Ave",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113544277",
"country_code": "US",
"telephone_number": "718-888-9118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SHERYL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.