Organization Active NPI

We Smile Dental P.C.

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1639445745
Registry record updated Apr 3, 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 P.C.
Practice address
1959A Westchester Ave
Bronx, NY 10462-4505
Phone
(718) 822-6086
Fax
(718) 822-6084
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Dr. Jessica Myae LeeNPI 1962694901
Title
Owner
Phone
(718) 822-6086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1959A Westchester Ave
Bronx, NY 10462-4505

Mailing address

1959A Westchester Ave
Bronx, NY 10462-4505
Phone (718) 822-6086

Other identifiers 2

IdentifierTypeStateIssuer
02902674MedicaidNY
03466153MedicaidNY

Other names 1

  • Greater Dental P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

1959A Westchester Ave
Bronx, NY 10462
Phone (718) 822-6086

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": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1639445745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959A WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624505",
            "telephone_number": "718-822-6086",
            "fax_number": "718-822-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959A WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624505",
            "telephone_number": "718-822-6086",
            "fax_number": "718-822-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE SMILE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2014-04-03",
        "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": "718-822-6086",
        "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"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03466153",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Dental P.C.",
            "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 3, 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.