Active NPI
Carl Edward Lee, D.D.S.
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1356523781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11912
- Practice address
- 2000 Crawford St Ste 1522
Houston, TX 77002-9070 - Phone
- (713) 757-0048
- Fax
- (713) 757-0469
- NPI assigned
- Nov 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11912 | TX | |
| General Practice Dentistry | 1223G0001X | 11912 | TX | Primary |
Addresses
Primary practice location
2000 Crawford St Ste 1522
Houston, TX 77002-9070
Mailing address
2000 Crawford St Ste 1522
Houston, TX 77002-9070
Phone (713) 757-0048
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 |
|---|---|---|---|
| 11912 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1356523781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 CRAWFORD ST STE 1522",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770029070",
"telephone_number": "713-757-0048",
"fax_number": "713-757-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CRAWFORD ST STE 1522",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770029070",
"telephone_number": "713-757-0048",
"fax_number": "713-757-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CARL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "11912",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.