Plains Performance Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PLAINS PERFORMANCE DENTISTRY, PC

Doing business as

Dr Bruce Lee

Practice address

20250 E Smoky Hill Rd Unit 5
Centennial, CO 80015-3118

Phone

(303) 400-9700

Fax

(303) 400-3121

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Lee, D.D.S.

Title

President

Phone

(303) 400-9700

Specialties & licenses 1

Addresses

Other names 1

• Dr Bruce Lee Doing business as

Tax ID family

Dr Bruce Lee2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Plains Performance Dentistry, PC

  • Dentist
  • Strasburg, CO
  • NPI 1003276932
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1548669567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622",
            "city": "STRASBURG",
            "state": "CO",
            "postal_code": "801360622",
            "telephone_number": "303-622-6200",
            "fax_number": "303-622-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20250 E SMOKY HILL RD UNIT 5",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153118",
            "telephone_number": "303-400-9700",
            "fax_number": "303-400-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINS PERFORMANCE DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-400-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Bruce Lee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Pitts, MA, NCC, LPC
• Clio Pitula
• PJP Medical
• Mallory Elizabeth Place
• Brett David Placek, DPT
• Amy Plog, PHD
• PM Lane Enterprises, LLC (Home Care Assistance of Centennial)
• PNPS, LLC
• George J. Poggioli Jr., M.D., PH.D.
• Sharla Brook Poling

• Dentist in Centennial, CO
• Providers in Centennial, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.