Organization Active NPI

Shirley T Lee and Associates a Dental Corp

  • Dentist
  • Anaheim, CA
National Provider Identifier
1003379264
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Shirley Lee, DDSNPI 1881847762
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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.