Organization Active NPI

Roar Associates Inc.

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1083149942
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROAR ASSOCIATES INC.
Practice address
26800 Crown Valley Pkwy Ste 405
Mission Viejo, CA 92691-8022
Phone
(949) 448-7667
Fax
(949) 586-6525
NPI assigned
Apr 27, 2017
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Mr. Gannon Ka Lee, DDSNPI 1386783736
Title
Owner
Phone
(949) 448-7667

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

26800 Crown Valley Pkwy Ste 405
Mission Viejo, CA 92691-8022

Mailing address

26800 Crown Valley Pkwy Ste 405
Mission Viejo, CA 92691-8022
Phone (949) 448-7667

Other names 1

  • A Dental Practice of Gannon Lee Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180720000255 CA DME Supplier - Oral Surgery - Dentist 4789931874 Practice locations: Mission Viejo, CA

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, 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": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1083149942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 405",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918022",
            "telephone_number": "949-448-7667",
            "fax_number": "949-586-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 405",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918022",
            "telephone_number": "949-448-7667",
            "fax_number": "949-586-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAR ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GANNON",
        "authorized_official_middle_name": "KA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-448-7667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Dental Practice of Gannon Lee",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.