Active NPI
Meng Huan Lee, DMD
- Periodontics
- Pittsford, NY
National Provider Identifier
1962930974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 061029
- Practice address
- 151 Sullys TRL Ste 1
Pittsford, NY 14534-4562 - Phone
- (585) 385-4867
- Fax
- (585) 872-4395
- NPI assigned
- Jun 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 061029 | NY | Primary |
Addresses
Primary practice location
151 Sullys TRL Ste 1
Pittsford, NY 14534-4562
Mailing address
2518 Liesfeld Pkwy
Glen Allen, VA 23060-5859
Phone (216) 926-5860
Other practice location 1
70 N Main St
Brockport, NY 14420-1649
Phone (585) 385-4867
Other practice location 2
404 William St Ste 2
Geneva, NY 14456-2143
Phone (315) 789-2389
Other practice location 3
4186 Lakeville Rd
Geneseo, NY 14454-1134
Phone (585) 385-4867
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 |
|---|---|---|---|
| 061029 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1962930974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 LIESFELD PKWY",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230605859",
"telephone_number": "216-926-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 SULLYS TRL STE 1",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344562",
"telephone_number": "585-385-4867",
"fax_number": "585-872-4395"
}
],
"practiceLocations": [
{
"address_1": "70 N Main St",
"address_purpose": "LOCATION",
"city": "Brockport",
"state": "NY",
"postal_code": "144201649",
"country_code": "US",
"telephone_number": "585-385-4867",
"fax_number": "585-872-4395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "404 William St Ste 2",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "NY",
"postal_code": "144562143",
"country_code": "US",
"telephone_number": "315-789-2389",
"fax_number": "585-872-4395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4186 Lakeville Rd",
"address_purpose": "LOCATION",
"city": "Geneseo",
"state": "NY",
"postal_code": "144541134",
"country_code": "US",
"telephone_number": "585-385-4867",
"fax_number": "585-872-4395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "MENG HUAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-03",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "061029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.