Ronald Lee Jeffrey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53553 Issued in CA

Practice address

1401 El Norte Pkwy
#160
San Marcos, CA 92069-1773

Phone

(360) 296-3507

NPI assigned

Aug 23, 2005

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1104819374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1773",
            "city": "MAPLE FALLS",
            "state": "WA",
            "postal_code": "982661773",
            "telephone_number": "360-296-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 EL NORTE PKWY",
            "address_2": "#160",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691773",
            "telephone_number": "360-296-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah T Jayyousi, LCSW
• Karly Matalasi Jean
• Lauren Jefferis, MD
• Jeffrey K Pearson a Professional Medical Corporation
• Jeffrey Pearson, D.O
• Katie Lynn Jenkins
• Brian Matthew Jensen, LICENSEDPSYCHOLOGIST
• Kim Hoang Jensen, D.A.C.M., LA.C
• Lance Fields Jeppesen, DC
• Jaiden Jeske

• General Practice Dentistry in San Marcos, CA
• Providers in San Marcos, 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 Mar 20, 2014; 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.