Active NPI
Ericka Renee Lee, DDS
- Dentist
- Frisco, TX
National Provider Identifier
1750128450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40551
- Practice address
- 15950 Eldorado Pkwy Ste 100
Frisco, TX 75035-5816 - Phone
- (972) 540-9977
- NPI assigned
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 40551 | TX | Primary |
Addresses
Primary practice location
15950 Eldorado Pkwy Ste 100
Frisco, TX 75035-5816
Mailing address
4141 Frisco Green Ave Apt 127
Frisco, TX 75034-2335
Phone (479) 871-1536
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 |
|---|---|---|---|
| 40551 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frisco Custer Star Dental Group, PC | Past | Accepting new patients |
Organizations & group practices 1
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
- Frisco, TX
- NPI 1245532688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1750128450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 FRISCO GREEN AVE APT 127",
"city": "FRISCO",
"state": "TX",
"postal_code": "750342335",
"telephone_number": "479-871-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15950 ELDORADO PKWY STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750355816",
"telephone_number": "972-540-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ERICKA",
"middle_name": "RENEE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "40551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.