Organization Active NPI

Lee McCarran Modern Dentistry, PC

  • General Practice Dentistry
  • Sparks, NV
National Provider Identifier
1376404897
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEE MCCARRAN MODERN DENTISTRY, PC
Practice address
2855 N McCarran Blvd Ste 102
Sparks, NV 89431-1887
Phone
(775) 341-4010
Fax
(775) 345-3180
NPI assigned
Nov 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Krystin Y Lee, DMD
Title
Owner
Phone
(775) 341-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2855 N McCarran Blvd Ste 102
Sparks, NV 89431-1887

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • McCarran Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2855 N McCarran Blvd
Ste 102
Sparks, NV 89431
Phone (775) 341-4010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1376404897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N MCCARRAN BLVD STE 102",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311887",
            "telephone_number": "775-341-4010",
            "fax_number": "775-345-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MCCARRAN MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KRYSTIN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-341-4010",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCarran Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.