NPIMap

Organization Active NPI

Scott K. Lee, D.D.S., P.C.

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1780007492
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D06726 Issued in AZ
Legal business name
SCOTT K. LEE, D.D.S., P.C.
Doing business as
Smileworks Dentistry II
Practice address
1840 E Warner Rd
Suite 117
Tempe, AZ 85284-3437
Phone
(480) 491-1170
Fax
(480) 755-0292
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Dr. Scott K Lee, D.D.S.
Title
Owner
Phone
(480) 491-1170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D06726 AZ Primary

Addresses

Primary practice location

1840 E Warner Rd
Suite 117
Tempe, AZ 85284-3437

Mailing address

1840 E Warner Rd
Suite 117
Tempe, AZ 85284-3437
Phone (480) 491-1170

Other identifiers 1

IdentifierTypeStateIssuer
270029MedicaidAZ

Other names 1

  • Smileworks Dentistry II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bell Towne Dentistry2 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.

Locations

1840 E Warner Rd
Ste 117
Tempe, AZ 85284
Phone (480) 491-1170

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1780007492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E WARNER RD",
            "address_2": "SUITE 117",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843437",
            "telephone_number": "480-491-1170",
            "fax_number": "480-755-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E WARNER RD",
            "address_2": "SUITE 117",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843437",
            "telephone_number": "480-491-1170",
            "fax_number": "480-755-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT K. LEE, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-491-1170",
        "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": "AZ",
            "license": "D06726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270029",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smileworks Dentistry II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.