Active NPI
Leah Gordon Lee, DDS
- General Practice Dentistry
- Lyles, TN
National Provider Identifier
1407087570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9003
- Practice address
- 7723 Clearview Church LN
Lyles, TN 37098-1674 - Phone
- (931) 670-5520
- NPI assigned
- Aug 6, 2009
- Last updated
- Apr 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 9003 | TN | Primary |
Addresses
Primary practice location
7723 Clearview Church LN
Lyles, TN 37098-1674
Mailing address
PO Box 916
Linden, TN 37096-0916
Phone (931) 589-2104
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9003 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1407087570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 916",
"city": "LINDEN",
"state": "TN",
"postal_code": "370960916",
"telephone_number": "931-589-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7723 CLEARVIEW CHURCH LN",
"city": "LYLES",
"state": "TN",
"postal_code": "370981674",
"telephone_number": "931-670-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LEAH",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-06",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "9003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyles, TN
- Mark Allen Graves, FNP-BC
- Zilla F Henricksen, FNP-C
- Hickman Community Health Careservices (Hickman Medical Center)
- KJK LLC (East Hickman Pharmacy)
- Brent Lee, D.D.S.
- Nicholas Paul Malinowski, DMD
- Bobby Gene Manor II, LPTA
- Stephen M McClellan, P.T.
- Kay P Murphy, NP
- Performance Rehab Institute (Performance Therapy Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.