NPIMap

Organization Active NPI

East Lake Mead Dental

  • General Practice Dentistry
  • North Las Vegas, NV
National Provider Identifier
1285890004
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3518 Issued in NV
Legal business name
EAST LAKE MEAD DENTAL
Practice address
2700 E Lake Mead Blvd
Ste 6
North Las Vegas, NV 89030-6512
Phone
(702) 649-7708
Fax
(702) 649-8074
NPI assigned
Jul 31, 2008
Organization subpart
Yes
Parent organization
DAVID LEE DMD APCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. David Lee, DMD
Title
President
Phone
(702) 241-8206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3518 NV Primary

Addresses

Primary practice location

2700 E Lake Mead Blvd
Ste 6
North Las Vegas, NV 89030-6512

Mailing address

2700 E Lake Mead Blvd
Ste 6
North Las Vegas, NV 89030-6512
Phone (702) 649-7708

Other names 1

  • EAST LAKE MEAD DENTAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tower Dental2 organizations share this tax ID, including this one
Part of
Tower Dental

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2700 E Lake Mead Blvd
Ste 6
North Las Vegas, NV 89030
Phone (702) 649-7708

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": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1285890004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E LAKE MEAD BLVD",
            "address_2": "STE 6",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306512",
            "telephone_number": "702-649-7708",
            "fax_number": "702-649-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E LAKE MEAD BLVD",
            "address_2": "STE 6",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306512",
            "telephone_number": "702-649-7708",
            "fax_number": "702-649-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LAKE MEAD DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID LEE DMD APC",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-241-8206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST LAKE MEAD DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.