NPIMap

Organization Active NPI

Lee Charles Mercer, Jr

  • Dentist
  • Arlington, TX
National Provider Identifier
1760813232
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20975 Issued in TX
Legal business name
LEE CHARLES MERCER, JR
Practice address
725 N Fielder Rd
Arlington, TX 76012-4698
Phone
(817) 275-4817
Fax
(817) 275-1765
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Dr. Lee Charles Mercer Jr., D.D.S.
Title
Owner
Phone
(817) 275-4817

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 20975 TX Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 9945 TX
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 29082 TX

Addresses

Primary practice location

725 N Fielder Rd
Arlington, TX 76012-4698

Mailing address

725 N Fielder Rd
Arlington, TX 76012-4698
Phone (817) 275-4817

Other names 1

  • Fielder Park Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lee Charles Mercer Jr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1760813232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124698",
            "telephone_number": "817-275-4817",
            "fax_number": "817-275-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124698",
            "telephone_number": "817-275-4817",
            "fax_number": "817-275-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE CHARLES MERCER, JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-275-4817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20975",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "9945",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "29082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fielder Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.