Active NPI
Samwell S. Lee, DDS
- Dentist
- El Paso, TX
National Provider Identifier
1881399954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40343
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 40343 | TX | MD | Clinical Child & Adolescent Psychologist |
| 13842 | CT | MD | Dentist |
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.