Organization Active NPI

Rebecca Lee, D.D.S., a Dental Corporation

  • Pediatric Dentistry
  • Northridge, CA
National Provider Identifier
1033455738
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
46197 Issued in CA
Legal business name
REBECCA LEE, D.D.S., A DENTAL CORPORATION
Practice address
11200 Corbin Ave
Suite 108
Northridge, CA 91326-4120
Phone
(818) 831-8252
Fax
(818) 831-8255
NPI assigned
Dec 27, 2012
Last updated
Dec 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Mrs. Nancy Scott
Title
Office Manager
Phone
(818) 831-8252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 46197 CA Primary

Addresses

Primary practice location

11200 Corbin Ave
Suite 108
Northridge, CA 91326-4120

Mailing address

11200 Corbin Ave
Suite 108
Northridge, CA 91326-4120
Phone (818) 831-8252

National Provider Directory

National Provider Directory

Locations

11200 Corbin Ave
Ste 108
Porter Ranch, CA 91326
Phone (818) 831-8252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1033455738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 CORBIN AVE",
            "address_2": "SUITE 108",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913264120",
            "telephone_number": "818-831-8252",
            "fax_number": "818-831-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 CORBIN AVE",
            "address_2": "SUITE 108",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913264120",
            "telephone_number": "818-831-8252",
            "fax_number": "818-831-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA LEE, D.D.S., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-831-8252",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.