Individual provider Active NPI

Quyen T. Lee, DDS

  • Dentist
  • Temple, TX
National Provider Identifier
1992870182
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23047 Issued in TX
Practice address
121 N 31St St Ste a
Temple, TX 76504-2453
Phone
(254) 231-4948
Fax
(254) 231-4930
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23047 TX Primary
General Practice Dentistry 1223G0001X 23047 TX

Addresses

Primary practice location

121 N 31St St Ste a
Temple, TX 76504-2453

Mailing address

121 N 31St St Ste a
Temple, TX 76504-2453
Phone (254) 231-4948

Other practice location 1

3705 N Main St Ste 200
Taylor, TX 76574-4981
Phone (512) 352-1515

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
23047TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
QTL Dental PLLC General Practice PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1992870182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 31ST ST STE A",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765042453",
            "telephone_number": "254-231-4948",
            "fax_number": "254-231-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 31ST ST STE A",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765042453",
            "telephone_number": "254-231-4948",
            "fax_number": "254-231-4930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 N Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "TX",
            "postal_code": "765744981",
            "country_code": "US",
            "telephone_number": "512-352-1515",
            "fax_number": "512-352-1516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "QUYEN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23047",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.