NPIMap

Organization Active NPI

Dr. Steven Lee, D.D.S., P.C.

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1770869612
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054788-1 Issued in NY
Legal business name
DR. STEVEN LEE, D.D.S., P.C.
Practice address
3626 Main St
Suite 2C
Flushing, NY 11354-4274
Phone
(718) 888-9366
Fax
(718) 888-7730
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Dr. Steven Lee, D.D.SNPI 1023260668
Title
Owner/ Dentist
Phone
(718) 888-9366

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 054788-1 NY Primary

Addresses

Primary practice location

3626 Main St
Suite 2C
Flushing, NY 11354-4274

Mailing address

3626 Main St
Suite 2C
Flushing, NY 11354-4274
Phone (718) 888-9366

Other identifiers 1

IdentifierTypeStateIssuer
03240360MedicaidNY

Other names 1

  • Smile Creations Doing business as

National Provider Directory

National Provider Directory

Locations

3626 Main St
Ste 2C
Flushing, NY 11354
Phone (718) 888-9366

Practitioners & affiliated clinicians

Practitioners 2

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": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1770869612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 MAIN ST",
            "address_2": "SUITE 2C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544274",
            "telephone_number": "718-888-9366",
            "fax_number": "718-888-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 MAIN ST",
            "address_2": "SUITE 2C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544274",
            "telephone_number": "718-888-9366",
            "fax_number": "718-888-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEVEN LEE, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "718-888-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054788-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03240360",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Creations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 24, 2011; 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.