Active NPI
Eyvonne Lee, DDS
- Dentist
- Silver City, NM
National Provider Identifier
1710553185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD5502
- Practice address
- 1007 N Pope St
Silver City, NM 88061-5161 - Phone
- (575) 388-1511
- Fax
- (575) 313-8236
- NPI assigned
- May 27, 2021
- Last updated
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD5502 | NM | Primary |
Addresses
Primary practice location
1007 N Pope St
Silver City, NM 88061-5161
Mailing address
530 De Moss St
Lordsburg, NM 88045-2617
Phone (602) 820-1254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidalgo Medical Services | Current | Accepting new patients | |
| Hidalgo Medical Services | Current | Accepting new patients | |
| Hidalgo Medical Services | Current | Accepting new patients | |
| Phoenix West Dental Partners LLC | Past | Accepting new patients |
Locations
530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368
1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511
Organizations & group practices 4
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.
-
dba HMS
- Federally Qualified Health Center (FQHC)
- Lordsburg, NM
- NPI 1306843180
-
dba HMS Community Health Center
- Federally Qualified Health Center (FQHC)
- Silver City, NM
- NPI 1063759330
-
dba Tu Casa
- Federally Qualified Health Center (FQHC)
- Silver City, NM
- NPI 1467971986
-
dba Risas Dental and Braces
- General Practice Dentistry
- Phoenix, AZ
- NPI 1871358101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1710553185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 DE MOSS ST",
"city": "LORDSBURG",
"state": "NM",
"postal_code": "880452617",
"telephone_number": "602-820-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 N POPE ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615161",
"telephone_number": "575-388-1511",
"fax_number": "575-313-8236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EYVONNE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD5502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.