NPIMap

Organization Active NPI

Lee Zhao DMD PC

  • Dentist
  • Norcross, GA
National Provider Identifier
1689951865
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013591 Issued in GA
Legal business name
LEE ZHAO DMD PC
Practice address
2055 Beaver Ruin Rd Ste E
Norcross, GA 30071-3786
Phone
(770) 242-0021
Fax
(770) 242-6016
NPI assigned
Nov 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Hongli Zhao, DMDNPI 1053511246
Title
Owner
Phone
(770) 242-0021

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN013591 GA Primary

Addresses

Primary practice location

2055 Beaver Ruin Rd Ste E
Norcross, GA 30071-3786

Mailing address

2055 Beaver Ruin Rd Ste E
Norcross, GA 30071-3786
Phone (770) 242-0021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1689951865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 BEAVER RUIN RD STE E",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713786",
            "telephone_number": "770-242-0021",
            "fax_number": "770-242-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 BEAVER RUIN RD STE E",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713786",
            "telephone_number": "770-242-0021",
            "fax_number": "770-242-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE ZHAO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "HONGLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-242-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.