Individual provider Active NPI

Phyllis Callahan Lee, DMD, MDS

  • Prosthodontics
  • Pittsburgh, PA
National Provider Identifier
1164566634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS027906L Issued in PA
Practice address
603 Washington Rd
Suite 200
Pittsburgh, PA 15228-1909
Phone
(412) 343-9100
Fax
(412) 343-9101
NPI assigned
Feb 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DS027906L PA Primary

Addresses

Primary practice location

603 Washington Rd
Suite 200
Pittsburgh, PA 15228-1909

Mailing address

603 Washington Rd
Suite 200
Pittsburgh, PA 15228-1909
Phone (412) 343-9100

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

LicenseStateTypeSpecialty
DS027906LPAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosthetic Dentistry of Mount Lebanon, PC 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": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164566634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 WASHINGTON RD",
            "address_2": "SUITE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281909",
            "telephone_number": "412-343-9100",
            "fax_number": "412-343-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WASHINGTON RD",
            "address_2": "SUITE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281909",
            "telephone_number": "412-343-9100",
            "fax_number": "412-343-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PHYLLIS",
        "middle_name": "CALLAHAN",
        "name_prefix": "Dr.",
        "credential": "DMD, MDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS027906L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.