Individual provider Active NPI

Lee Mark Cote Jr., DMD

  • Periodontics
  • Altamonte Springs, FL
National Provider Identifier
1255647897
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN19126 Issued in FL
Practice address
195 W Highland St
Altamonte Springs, FL 32714-2599
Phone
(407) 865-6363
Fax
(785) 240-5749
NPI assigned
Aug 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19126 FL
Periodontics 1223P0300X DN19126 FL Primary

Addresses

Primary practice location

195 W Highland St
Altamonte Springs, FL 32714-2599

Mailing address

2699 Wright Ave
Winter Park, FL 32789
Phone (407) 865-6363

Other practice location 1

228 Beeman Pl
US Army Dental Activity
Ft Riley, KS 66442-7009
Phone (785) 239-7241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180209000066 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517227655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19126FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee M. Cote, Jr., D.M.D., PLLC Periodontics 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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255647897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 WRIGHT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-865-6363",
            "fax_number": "785-240-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W HIGHLAND ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142599",
            "telephone_number": "407-865-6363",
            "fax_number": "785-240-5749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Beeman Pl",
            "address_2": "US Army Dental Activity",
            "address_purpose": "LOCATION",
            "city": "Ft Riley",
            "state": "KS",
            "postal_code": "664427009",
            "country_code": "US",
            "telephone_number": "785-239-7241",
            "fax_number": "785-240-5749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTE",
        "first_name": "LEE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19126",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN19126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.