Identist, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IDENTIST, PLLC

Practice address

825 W Dove Ave
McAllen, TX 78504-3508

Phone

(956) 855-5000

NPI assigned

Aug 30, 2023

Organization subpart

No

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

Authorized official

Name

Steven Lee, DDSNPI 1992044176

Title

Manager

Phone

(956) 369-0080

Specialties & licenses 1

Addresses

Other names 1

• Mindful Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Myoung-Suk Lee, D.D.S.

  • General Practice Dentistry
  • Mission, TX
  • NPI 1992044176
  NPD Authorized official

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1679358345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 N CYNTHIA ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785041618",
            "telephone_number": "956-369-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043508",
            "telephone_number": "956-855-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-369-0080",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anayanci Ibarra, RD, LD
• Araceli Ibarra, NP
• Jessica Ibarra
• Amir Ibrahiam
• Adlan Mohamed Ibrahim, MD
• Idris Center
• Ifl Services LLC
• Silvia Lee Iglesias, PA-C
• Jose Esteban Igoa, M.D.
• Ik Gunadi Mdpa

• General Practice Dentistry in McAllen, TX
• Providers in McAllen, 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 Aug 30, 2023; 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.