Active NPI
We Smile Dental Two PC
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1417375858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 053612
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02902674 | Medicaid | NY |
Other names 1
- greater dental
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Bronx, NY
- NPI 1144653106
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.