NPIMap

Organization Active NPI

Monica T Lee, DDS, LTD

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1184942708
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4880 Issued in NV
Legal business name
MONICA T LEE, DDS, LTD
Doing business as
Divine Dental Smile
Practice address
6350 Mae Anne Ave
#1
Reno, NV 89523-4736
Phone
(775) 787-2600
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Dr. Monica Tricia Lee, DDSNPI 1043304991
Title
Owner/Director
Phone
(775) 787-2600

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 4880 NV Primary

Addresses

Primary practice location

6350 Mae Anne Ave
#1
Reno, NV 89523-4736

Mailing address

6350 Mae Anne Ave
#1
Reno, NV 89523-4736
Phone (775) 787-2600

Other names 1

  • Divine Dental Smile Doing business as

National Provider Directory

National Provider Directory

Locations

6350 Mae Anne Ave
Ste 1
Reno, NV 89523
Phone (775) 787-2600

Practitioners & affiliated clinicians

Practitioners 2

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": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1184942708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 MAE ANNE AVE",
            "address_2": "#1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234736",
            "telephone_number": "775-787-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 MAE ANNE AVE",
            "address_2": "#1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234736",
            "telephone_number": "775-787-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA T LEE, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "TRICIA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "775-787-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Dental Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.