Organization Active NPI

John Lee Dental P.C.

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1154501526
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052270-1 Issued in NY
Legal business name
JOHN LEE DENTAL P.C.
Practice address
19316 Northern Blvd
Suite D
Flushing, NY 11358-2900
Phone
(718) 772-3465
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. John H. LeeNPI 1255487112
Title
President/Owner
Phone
(718) 772-3465

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 052270-1 NY Primary

Addresses

Primary practice location

19316 Northern Blvd
Suite D
Flushing, NY 11358-2900

Mailing address

24536 76TH Ave
Apt a
Bellerose, NY 11426-1802

National Provider Directory

National Provider Directory

Locations

19316 Northern Blvd
Ste D
Flushing, NY 11358
Phone (347) 438-1000

Practitioners & affiliated clinicians

Practitioners 1

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1154501526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24536 76TH AVE",
            "address_2": "APT A",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19316 NORTHERN BLVD",
            "address_2": "SUITE D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582900",
            "telephone_number": "718-772-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LEE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-772-3465",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052270-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.