Individual provider Active NPI

Samwell S. Lee, DDS

  • Dentist
  • El Paso, TX
National Provider Identifier
1881399954
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40343 Issued in TX
Practice address
2260 N Zaragoza Rd Ste A112
El Paso, TX 79938-8125
Phone
(915) 308-1868
NPI assigned
Mar 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13842 CT
Dentist 122300000X 40343 TX Primary

Addresses

Primary practice location

2260 N Zaragoza Rd Ste A112
El Paso, TX 79938-8125

Mailing address

1531 George Dieter Dr Apt 208
El Paso, TX 79936-7665
Phone (516) 306-5953

Other practice location 1

10705 Gateway Blvd W Ste J
El Paso, TX 79935-4921
Phone (915) 308-1089

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40343TXMDClinical Child & Adolescent Psychologist
13842CTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1881399954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 GEORGE DIETER DR APT 208",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367665",
            "telephone_number": "516-306-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 N ZARAGOZA RD STE A112",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388125",
            "telephone_number": "915-308-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10705 Gateway Blvd W Ste J",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799354921",
            "country_code": "US",
            "telephone_number": "915-308-1089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SAMWELL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "13842",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.