Active NPI
Wade W Lee, D.D.S.
- General Practice Dentistry
- Sunnyvale, CA
National Provider Identifier
1003049826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57479
- Practice address
- 685 E Remington Dr Ste B
Sunnyvale, CA 94087-1982 - Phone
- (408) 737-9633
- NPI assigned
- Aug 27, 2009
- Last updated
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 57479 | CA | Primary |
Addresses
Primary practice location
685 E Remington Dr Ste B
Sunnyvale, CA 94087-1982
Mailing address
PO Box 70243
Sunnyvale, CA 94086-0243
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 |
|---|---|---|---|
| 57479 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1003049826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70243",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940860243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 E REMINGTON DR STE B",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871982",
"telephone_number": "408-737-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "WADE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-27",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.