Organization Active NPI

Vingelis and Lee Family Dental

  • General Practice Dentistry
  • Johnson City, NY
National Provider Identifier
1720201205
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046853-1 Issued in NY
Legal business name
VINGELIS AND LEE FAMILY DENTAL
Practice address
145 Oakdale Road
Suite a
Johnson City, NY 13790-1766
Phone
(607) 217-5853
Fax
(607) 237-0159
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Dr. Timothy Jerome Lee, DDS
Title
Vice President
Phone
(607) 754-1999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 046853-1 NY Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 047633-1 NY

Addresses

Primary practice location

145 Oakdale Road
Suite a
Johnson City, NY 13790-1766

Mailing address

145 Oakdale Road
Suite a
Johnson City, NY 13790-1766
Phone (607) 217-5853

National Provider Directory

National Provider Directory

Locations

145 Oakdale Rd
Ste A
Johnson City, NY 13790
Phone (607) 217-5853

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1720201205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 OAKDALE ROAD",
            "address_2": "SUITE A",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901766",
            "telephone_number": "607-217-5853",
            "fax_number": "607-237-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 OAKDALE ROAD",
            "address_2": "SUITE A",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901766",
            "telephone_number": "607-217-5853",
            "fax_number": "607-237-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINGELIS AND LEE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "607-754-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046853-1",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "047633-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.