NPIMap

Organization Active NPI

Dental Offices of Travis Lee, DDS, Inc.

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1043858582
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL OFFICES OF TRAVIS LEE, DDS, INC.
Practice address
11600 Wilshire Blvd Ste 10
Los Angeles, CA 90025-1775
Phone
(310) 312-5070
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Travis Lee, DDSNPI 1598922551
Title
Dentist
Phone
(310) 312-5070

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11600 Wilshire Blvd Ste 10
Los Angeles, CA 90025-1775

Mailing address

11600 Wilshire Blvd Ste 10
Los Angeles, CA 90025-1775
Phone (310) 312-5070

Other names 1

  • Ocean Breeze Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

11600 Wilshire Blvd
Ste 10
West Los Angeles, CA 90025
Phone (310) 312-5070

Practitioners & affiliated clinicians

Practitioners 3

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": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1043858582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251775",
            "telephone_number": "310-312-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251775",
            "telephone_number": "310-312-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL OFFICES OF TRAVIS LEE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-312-5070",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Breeze Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.