Jason J Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47512 Issued in CA

Practice address

17121 Placer Hills Rd
Meadow Vista, CA 95722-0160

Phone

(530) 878-2224

Fax

(530) 878-8169

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003997735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "address_2": "17121 PLACER HILLS RD",
            "city": "MEADOW VISTA",
            "state": "CA",
            "postal_code": "957220160",
            "telephone_number": "530-878-2224",
            "fax_number": "530-878-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 PLACER HILLS RD",
            "city": "MEADOW VISTA",
            "state": "CA",
            "postal_code": "957220160",
            "telephone_number": "530-878-2224",
            "fax_number": "530-878-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JASON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Helble, BCBA
• Randall Duane Hensley, DC
• Jennifer Ryan, DDS, Ms, Inc.
• Janice Lee Joyner, PHARM.D.
• Kindred Birth Collective, LLC
• Rosalyn Lee, R.N
• Lynette R. Beadles (Ramkota Health Services)
• Jerry May
• Lara N Medors
• Horst B. Mehner, M.D.

• General Practice Dentistry in Meadow Vista, CA
• Providers in Meadow Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.