Active NPI
L Davis Lee, D.D.S.
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1386650737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2005
- Practice address
- 8401 E 22ND St
Tucson, AZ 85710-6549 - Phone
- (520) 885-5746
- Fax
- (520) 885-1730
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2005 | AZ | Primary |
Addresses
Primary practice location
8401 E 22ND St
Tucson, AZ 85710-6549
Mailing address
8401 E 22ND St
Tucson, AZ 85710-6549
Phone (520) 885-5746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20150902002553 | AZ | Order and Referring Only - Oral Surgery | 3476869660 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386650737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 E 22ND ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857106549",
"telephone_number": "520-885-5746",
"fax_number": "520-885-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 E 22ND ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857106549",
"telephone_number": "520-885-5746",
"fax_number": "520-885-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "L",
"middle_name": "DAVIS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "2005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.