Active NPI
Charles Lee, DDS
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1306143847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- NV6813
- Practice address
- 7477 W Lake Mead Blvd
Ste 106
Las Vegas, NV 89128 - Phone
- (702) 737-6080
- Fax
- (702) 804-5349
- NPI assigned
- Feb 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08790 | IA | |
| General Practice Dentistry | 1223G0001X | NV6813 | NV | Primary |
Addresses
Primary practice location
7477 W Lake Mead Blvd
Ste 106
Las Vegas, NV 89128
Mailing address
7477 W Lake Mead Blvd
Ste 106
Las Vegas, NV 89128
Phone (702) 737-6080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08790 | IA | MD | General Practice Dentistry |
| NV6813 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charming Smiles PC | Current | 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": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1306143847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7477 W LAKE MEAD BLVD",
"address_2": "STE 106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89128",
"telephone_number": "702-737-6080",
"fax_number": "702-804-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7477 W LAKE MEAD BLVD",
"address_2": "STE 106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89128",
"telephone_number": "702-737-6080",
"fax_number": "702-804-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHARLES",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-18",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08790",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "NV6813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.