Organization Active NPI

Emily Lee DDS PC

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1770756702
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EMILY LEE DDS PC
Practice address
8040 S Virginia St
Suite #1
Reno, NV 89511-8951
Phone
(310) 895-0133
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
William Dale Demberecky
Title
Evp & Chief Strategy and Growth
Phone
(714) 571-2140

Specialties & licenses 1

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

Addresses

Primary practice location

8040 S Virginia St
Suite #1
Reno, NV 89511-8951

Mailing address

8040 S Virginia St
Suite #1
Reno, NV 89511-8951

Other names 1

  • Western Dental of Nevada Other name

National Provider Directory

National Provider Directory
Tax ID family
Emily Lee DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8040 S Virginia St
Ste 1
Reno, NV 89511
Phone (775) 287-7987

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1770756702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 S VIRGINIA ST",
            "address_2": "SUITE #1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 S VIRGINIA ST",
            "address_2": "SUITE #1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118951",
            "telephone_number": "310-895-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY LEE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "DEMBERECKY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "EVP & CHIEF STRATEGY AND GROWTH",
        "authorized_official_telephone_number": "714-571-2140"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Dental of Nevada",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Western Dental of Nevada",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.