Organization Active NPI

Lee&Lee Hiram Clark PLLC

Doing business as Crown Dental

  • Dentist
  • Houston, TX
National Provider Identifier
1316253776
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LEE&LEE HIRAM CLARK PLLC
Doing business as
Crown Dental
Practice address
4407 W Fuqua St # R
Houston, TX 77045-6256
Phone
(713) 434-7333
Fax
(713) 434-7334
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Emily Lee, DDS
Title
Dentist
Phone
(713) 977-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4407 W Fuqua St # R
Houston, TX 77045-6256

Mailing address

10260 Westheimer Rd
Ste 390
Houston, TX 77042-3110
Phone (713) 977-5300

Other identifiers 1

IdentifierTypeStateIssuer
177045501MedicaidTX

Other names 1

  • Crown Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4407 W Fuqua St
Ste R
Houston, TX 77045
Phone (713) 434-7333

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": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1316253776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 WESTHEIMER RD",
            "address_2": "STE 390",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423110",
            "telephone_number": "713-977-5300",
            "fax_number": "713-977-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 W FUQUA ST # R",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770456256",
            "telephone_number": "713-434-7333",
            "fax_number": "713-434-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE&LEE HIRAM CLARK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-977-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177045501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.