Organization Active NPI

Charles C. Lee DDS, Inc

  • Dentist
  • Escondido, CA
National Provider Identifier
1124491121
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48496 Issued in CA
Legal business name
CHARLES C. LEE DDS, INC
Practice address
901 E Ohio Ave
Escondido, CA 92025-3422
Phone
(760) 745-4241
Fax
(562) 296-2110
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Charles C Lee, DDS
Title
Owner
Phone
(760) 745-4241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 48496 CA Primary

Addresses

Primary practice location

901 E Ohio Ave
Escondido, CA 92025-3422

Mailing address

901 E Ohio Ave
Escondido, CA 92025-3422
Phone (760) 745-4241

National Provider Directory

National Provider Directory

Locations

901 E Ohio Ave
Escondido, CA 92025
Phone (760) 745-4241

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1124491121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E OHIO AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253422",
            "telephone_number": "760-745-4241",
            "fax_number": "562-296-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E OHIO AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253422",
            "telephone_number": "760-745-4241",
            "fax_number": "562-296-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES C. LEE DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-745-4241",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.