Simon Lee

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40924 Issued in TX

Practice address

2555 E League City Pkwy Ste 160
League City, TX 77573-7103

Phone

(713) 346-9997

NPI assigned

Sep 19, 2024

Last updated

Sep 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diamond & Pearl Dental Health, PLLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1386574861
  NPD Authorized official
• League City Smiles Dentistry,PC

  dba League City Smiles Dentistry

  • Dentist
  • League City, TX
  • NPI 1265899272
  NPD (past)

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1649007824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 ONTARIO DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737530",
            "telephone_number": "281-685-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E LEAGUE CITY PKWY STE 160",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737103",
            "telephone_number": "713-346-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Fm 646 Rd W Ste D",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "TX",
            "postal_code": "775394580",
            "country_code": "US",
            "telephone_number": "281-332-0980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SIMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• League Pharmacy LLC
• Mina Leanne Ledoux, MSN, APRN, FNP-C
• Colin Joe Lee, PHARMD
• Jessica Lee, PT, DPT
• Malinda Lee
• Donald Louis Lefeber, LCSW
• Chelsea Legate, MA, NCC, LPC
• Meagan Nicole Legrand, OD
• Emily Lemaire
• Lenus Healthcare

• General Practice Dentistry in League City, TX
• Providers in League City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.