DR. LEE E ROUNDY D.M.D.
NPI 1972585107
Dentist - Pediatric Dentistry in Fort Defiance, AZ

Active since November 15, 2005PECOS Enrolled
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2022, Apr 11, 2018 (2 updates tracked since 2018).

About Dr. Lee E Roundy D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEE E ROUNDY D.M.D. (NPI 1972585107) is an individual pediatric dentistry provider in Fort Defiance, Arizona, licensed in Nevada (S6-194C) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972585107
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. LEE E ROUNDYCredential: D.M.D.
Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504-0649
Mailing AddressPo Box 649, Attn: Revenue GenerationFort Defiance, AZ 86504-0649
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
NPI 1972585107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in NV · S6-194C Licensed in UT · 5529129-9923
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 5529129-9921 (UT)
CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lee E Roundy D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Nurse Practitioner (Family)
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Dietitian, Registered
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Physician Assistant
CORNER OF ROUTE N12 AND N7, CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Physical Therapist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Pharmacist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Roundy's NPI number?

The NPI number for Lee Roundy is 1972585107. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Lee Roundy located?

Lee Roundy practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.

What is Lee Roundy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Lee Roundy enrolled in Medicare?

Yes. Lee Roundy is registered in the Medicare PECOS enrollment system.

What insurance does Lee Roundy accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Lee Roundy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lee Roundy was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.