Organization Active NPI

Pure Dental, PC

  • Dental Clinic/Center
  • Flushing, NY
National Provider Identifier
1740463561
Registry record updated Dec 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
049108 Issued in NY
Legal business name
PURE DENTAL, PC
Practice address
14748 Roosevelt Ave
Suite #L-6
Flushing, NY 11354-4706
Phone
(718) 886-9555
Fax
(718) 886-9557
NPI assigned
Dec 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2007

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

Authorized official

Name
Dr. James E Lee, DDSNPI 1811999329
Title
President
Phone
(718) 886-9555

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
Dental Clinic/Center 261QD0000X 049108 NY Primary

Addresses

Primary practice location

14748 Roosevelt Ave
Suite #L-6
Flushing, NY 11354-4706

Mailing address

14748 Roosevelt Ave
Suite #L-6
Flushing, NY 11354-4706
Phone (718) 886-9555

National Provider Directory

National Provider Directory

Locations

14748 Roosevelt Ave
Ste L6
Flushing, NY 11354
Phone (718) 886-9555

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197676800000",
    "number": "1740463561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14748 ROOSEVELT AVE",
            "address_2": "SUITE #L-6",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544706",
            "telephone_number": "718-886-9555",
            "fax_number": "718-886-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14748 ROOSEVELT AVE",
            "address_2": "SUITE #L-6",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544706",
            "telephone_number": "718-886-9555",
            "fax_number": "718-886-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-15",
        "last_updated": "2007-12-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "049108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2007; 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.