Active NPI
Allen J Lee, DMD
- General Practice Dentistry
- Aurora, CO
National Provider Identifier
1487935839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10543
- Practice address
- 6730 S Cornerstar Way Ste a
Aurora, CO 80016-1571 - Phone
- (303) 400-4500
- Fax
- (303) 568-6104
- NPI assigned
- Aug 30, 2011
- Sex
- Male
- 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 | 10543 | CO | Primary |
Addresses
Primary practice location
6730 S Cornerstar Way Ste a
Aurora, CO 80016-1571
Mailing address
2860 Michelle FL 2
Irvine, CA 92606-1008
Phone (714) 368-2077
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10543 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstar Dental Group and Orthodontics | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Aurora, CO
- NPI 1306092747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1487935839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 MICHELLE FL 2",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061008",
"telephone_number": "714-368-2077",
"fax_number": "714-368-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6730 S CORNERSTAR WAY STE A",
"city": "AURORA",
"state": "CO",
"postal_code": "800161571",
"telephone_number": "303-400-4500",
"fax_number": "303-568-6104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ALLEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "10543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.