Active NPI
Ronald Dexter Lee, DMD
- Dentist
- Aiken, SC
National Provider Identifier
1184733982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0002937
- Practice address
- 1316 Pine Log Road
Aiken, SC 29806 - Phone
- (803) 642-8678
- Fax
- (803) 642-9090
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0002937 | SC | Primary |
Addresses
Primary practice location
1316 Pine Log Road
Aiken, SC 29806
Mailing address
1316 Pine Log Road
Aiken, SC 29806
Phone (803) 642-8678
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140513001035 | SC | Order and Referring Only - Oral Surgery | 6305079690 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2937 | SC | MD | Chiropractor |
| 0002937 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184733982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 PINE LOG ROAD",
"city": "AIKEN",
"state": "SC",
"postal_code": "29806",
"telephone_number": "803-642-8678",
"fax_number": "803-642-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 PINE LOG ROAD",
"city": "AIKEN",
"state": "SC",
"postal_code": "29806",
"telephone_number": "803-642-8678",
"fax_number": "803-642-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RONALD",
"middle_name": "DEXTER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "0002937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.