Organization Active NPI

We Smile Dental Two PC

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1417375858
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053612 Issued in NY
Legal business name
WE SMILE DENTAL TWO PC
Practice address
3213 3Rd Ave
Bronx, NY 10451-4265
Phone
(646) 314-0196
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Jessica Myae Lee
Title
Owner
Phone
(646) 314-0196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 053612 NY Primary

Addresses

Primary practice location

3213 3Rd Ave
Bronx, NY 10451-4265

Mailing address

3213 3Rd Ave
Bronx, NY 10451-4265
Phone (646) 314-0196

Other identifiers 1

IdentifierTypeStateIssuer
02902674MedicaidNY

Other names 1

  • greater dental Doing business as

National Provider Directory

National Provider Directory

Locations

3213 3rd Ave
Bronx, NY 10451
Phone (646) 314-0196

Practitioners & affiliated clinicians

Practitioners 1

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": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1417375858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514265",
            "telephone_number": "646-314-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514265",
            "telephone_number": "646-314-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE SMILE DENTAL TWO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MYAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-314-0196",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02902674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "greater dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.