Active NPI
Roar Associates Inc.
- General Practice Dentistry
- Mission Viejo, CA
National Provider Identifier
1083149942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gannon Ka Lee, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180720000255 | CA | DME Supplier - Oral Surgery - Dentist | 4789931874 | Practice locations: Mission Viejo, CA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Mission Viejo, CA
- NPI 1386783736
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.