Tiffany Kafei Lee, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

S5-46C Issued in NV

Practice address

2345 E Centennial Pkwy Ste 110
North Las Vegas, NV 89081-5605

Phone

(702) 991-0404

Fax

(702) 991-0404

NPI assigned

Jan 16, 2017

Last updated

Nov 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tlee@direct.scf.cc

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339
  NPD

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1932645827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E CENTENNIAL PKWY STE 110",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890815605",
            "telephone_number": "702-991-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E CENTENNIAL PKWY STE 110",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890815605",
            "telephone_number": "702-991-0404",
            "fax_number": "702-991-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TIFFANY",
        "middle_name": "KAFEI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "63003",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NV",
            "license": "S5-46C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kelly Lee, D.M.D.
• Sora Julie Lee
• Stacey Lee
• Steven Lee
• Teresa Lee
• Victoria Jean Lee
• Courtney Pamela Lefear
• Jacorey Lefear
• Tawny M Lefear
• Bruce Leggroan Jr.

• Prosthodontics in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Prosthodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.