Active NPI
Thomas H Lee, DDS
- Dentist
- Aurora, CO
National Provider Identifier
1710010012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9264
- Practice address
- 14221 E 4TH Ave Ste 222
Aurora, CO 80011-8721 - Phone
- (303) 344-1227
- Fax
- (303) 344-1827
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9264 | CO | |
| Dentist | 122300000X | 9264 | CO | Primary |
Addresses
Primary practice location
14221 E 4TH Ave Ste 222
Aurora, CO 80011-8721
Mailing address
14221 E 4TH Ave
Ste 222
Aurora, CO 80011-8735
Phone (303) 344-1227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870778605 | Other | CO | TAX ID |
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 |
|---|---|---|---|
| 9264 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Family Dental, P.C. | Dentist | Past | Accepting new patients |
| Aurora Family Dental, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Aurora, CO
- NPI 1942458641
-
- Dentist
- Aurora, CO
- NPI 1871755520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1710010012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14221 E 4TH AVE",
"address_2": "STE 222",
"city": "AURORA",
"state": "CO",
"postal_code": "800118735",
"telephone_number": "303-344-1227",
"fax_number": "303-344-1827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14221 E 4TH AVE STE 222",
"city": "AURORA",
"state": "CO",
"postal_code": "800118721",
"telephone_number": "303-344-1227",
"fax_number": "303-344-1827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "THOMAS",
"middle_name": "H",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9264",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "9264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "870778605",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.