Active NPI
W. Lee Payne, DDS, PC
- General Practice Dentistry
- Fairbanks, AK
National Provider Identifier
1962687095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 423
- Legal business name
- W. LEE PAYNE, DDS, PC
- Practice address
- 1919 Lathrop St Ste 211
Fairbanks, AK 99701-5942 - Phone
- (907) 452-7007
- Fax
- (907) 456-5834
- NPI assigned
- Jan 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Walter Lee Payne, DDS
- Title
- General Dentist
- Phone
- (907) 452-7007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 423 | AK | Primary |
Addresses
Primary practice location
1919 Lathrop St Ste 211
Fairbanks, AK 99701-5942
Mailing address
1919 Lathrop St Ste 211
Fairbanks, AK 99701-5942
Phone (907) 452-7007
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1962687095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 LATHROP ST STE 211",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015942",
"telephone_number": "907-452-7007",
"fax_number": "907-456-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 LATHROP ST STE 211",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015942",
"telephone_number": "907-452-7007",
"fax_number": "907-456-5834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W. LEE PAYNE, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "907-452-7007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.