Active NPI
Shirley T Lee and Associates a Dental Corp
- Dentist
- Anaheim, CA
National Provider Identifier
1003379264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SHIRLEY T LEE AND ASSOCIATES A DENTAL CORP
- Practice address
- 5475 E la Palma Ave Ste 200
Anaheim, CA 92807-2075 - Phone
- (657) 341-3700
- Fax
- (657) 341-3701
- NPI assigned
- Apr 12, 2019
- 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
- Shirley Lee, DDS
- Title
- Dentist
- Phone
- (657) 341-3700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
5475 E la Palma Ave Ste 200
Anaheim, CA 92807-2075
Mailing address
5475 E la Palma Ave Ste 200
Anaheim, CA 92807-2075
Phone (657) 341-3700
Other names 1
- Anaheim Smiles Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Fullerton, CA
- NPI 1881847762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639008000000",
"number": "1003379264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5475 E LA PALMA AVE STE 200",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072075",
"telephone_number": "657-341-3700",
"fax_number": "657-341-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 E LA PALMA AVE STE 200",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072075",
"telephone_number": "657-341-3700",
"fax_number": "657-341-3701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRLEY T LEE AND ASSOCIATES A DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-12",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "657-341-3700",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anaheim Smiles Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Anaheim Smiles Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.