Active NPI
Betty V Lee, DMD
- General Practice Dentistry
- Hoover, AL
National Provider Identifier
1639260813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4580
- Practice address
- 2801 Hwy 150
Ste T
Hoover, AL 35244 - Phone
- (205) 988-5858
- Fax
- (205) 988-5886
- NPI assigned
- Sep 27, 2006
- 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 | 4580 | AL | Primary |
Addresses
Primary practice location
2801 Hwy 150
Ste T
Hoover, AL 35244
Mailing address
2801 Hwy 150
Ste T
Hoover, AL 35244
Phone (205) 988-5858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812940 | Other | UNITED CONCORDIA | |
| 51008276 | Other | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 4580 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639260813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 HWY 150",
"address_2": "STE T",
"city": "HOOVER",
"state": "AL",
"postal_code": "35244",
"telephone_number": "205-988-5858",
"fax_number": "205-988-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 HWY 150",
"address_2": "STE T",
"city": "HOOVER",
"state": "AL",
"postal_code": "35244",
"telephone_number": "205-988-5858",
"fax_number": "205-988-5886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BETTY",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "812940",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51008276",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.