Active NPI
April Lee, DMD
- General Practice Dentistry
- St Petersburg, FL
National Provider Identifier
1790200822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22971
- Practice address
- 1621 1St Ave N
St Petersburg, FL 33713-8935 - Phone
- (727) 290-0929
- Fax
- (727) 290-0919
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN22971 | FL | |
| General Practice Dentistry | 1223G0001X | 33397 | TX | |
| General Practice Dentistry | 1223G0001X | 22971 | FL | Primary |
Addresses
Primary practice location
1621 1St Ave N
St Petersburg, FL 33713-8935
Mailing address
1621 1St Ave N
St Petersburg, FL 33713-8935
Phone (727) 290-0929
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22971 | FL | MD | General Practice Dentistry |
| DN22971 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JC Flash Spa LLC | Current | Accepting new patients |
Locations
1621 1st Ave N
St Petersburg, FL 33713
Phone (727) 290-0929
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.
-
- Dental Clinic/Center
- St Petersburg, FL
- NPI 1356115281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1790200822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138935",
"telephone_number": "727-290-0929",
"fax_number": "727-290-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138935",
"telephone_number": "727-290-0929",
"fax_number": "727-290-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "APRIL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN22971",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33397",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "22971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.