Individual provider Active NPI

Benjamin Lee

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1831520014
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29599 Issued in TX
Practice address
13048 Research Blvd Ste B
Suite B
Austin, TX 78750-3205
Phone
(512) 257-2828
NPI assigned
Dec 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29599 TX Primary

Addresses

Primary practice location

13048 Research Blvd Ste B
Suite B
Austin, TX 78750-3205

Mailing address

13048 Research Blvd Ste B
Suite B
Austin, TX 78750-3205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102002254 TX Order and Referring Only - DentistPractitioner - Dentist 4284912882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29599TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Austin HJ Dental PC Past Accepting new patients
Hkdds Smile, PLLC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1831520014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13048 RESEARCH BLVD STE B",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13048 RESEARCH BLVD STE B",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503205",
            "telephone_number": "512-257-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.