Active NPI
Adrian Dudley Lee, DMD
- Dentist
- North Las Vegas, NV
National Provider Identifier
1295082253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6299
- Practice address
- 640 E Deer Springs Way
North Las Vegas, NV 89086-1512 - Phone
- (702) 399-3800
- NPI assigned
- Aug 9, 2012
- 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 | 6299 | NV | Primary |
Addresses
Primary practice location
640 E Deer Springs Way
North Las Vegas, NV 89086-1512
Mailing address
640 E Deer Springs Way
North Las Vegas, NV 89086-1512
Phone (702) 399-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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 |
|---|---|---|---|---|
| I20150804006215 | NV | Order and Referring Only - Dentist | 3779897772 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6299 | NV | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1295082253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 E DEER SPRINGS WAY",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861512",
"telephone_number": "702-399-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 E DEER SPRINGS WAY",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861512",
"telephone_number": "702-399-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ADRIAN",
"middle_name": "DUDLEY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-09",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 27, 2013; 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.