Organization Active NPI

Lee Family Dentistry

  • General Practice Dentistry
  • Zionsville, IN
National Provider Identifier
1750002655
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEE FAMILY DENTISTRY
Practice address
1630 W Oak St
Zionsville, IN 46077-1970
Phone
(317) 872-0800
Fax
(317) 872-1224
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Mrs. Jennifer Ball
Title
Office Manager
Phone
(317) 872-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1630 W Oak St
Zionsville, IN 46077-1970

Mailing address

1630 W Oak St
Zionsville, IN 46077-1970
Phone (317) 872-0800

National Provider Directory

National Provider Directory

Locations

1630 W Oak St
Zionsville, IN 46077
Phone (317) 872-0800

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": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1750002655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 W OAK ST",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771970",
            "telephone_number": "317-872-0800",
            "fax_number": "317-872-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W OAK ST",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771970",
            "telephone_number": "317-872-0800",
            "fax_number": "317-872-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-872-0800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.