Organization Active NPI

Anne R. Lee, DDS, Inc

  • Pediatric Dentistry
  • So. San Francisco, CA
National Provider Identifier
1154462786
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
48312 Issued in CA
Legal business name
ANNE R. LEE, DDS, INC
Practice address
2400 Westborough Blvd
Ste 208
So. San Francisco, CA 94080
Phone
(650) 873-5212
Fax
(650) 873-8877
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Anne Lee, DDS
Title
Owner
Phone
(415) 225-2686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 48312 CA Primary

Addresses

Primary practice location

2400 Westborough Blvd
Ste 208
So. San Francisco, CA 94080

Mailing address

1475 Huntington Ave
Ste 150
South San Francisco, CA 94080-5990
Phone (650) 873-5212

National Provider Directory

National Provider Directory

Locations

1475 Huntington Ave
Ste 150
South San Francisco, CA 94080
Phone (650) 246-3829

2400 Westborough Blvd
Ste 208
South San Francisco, CA 94080
Phone (650) 873-2740

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1154462786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 HUNTINGTON AVE",
            "address_2": "STE 150",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805990",
            "telephone_number": "650-873-5212",
            "fax_number": "650-873-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WESTBOROUGH BLVD",
            "address_2": "STE 208",
            "city": "SO. SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94080",
            "telephone_number": "650-873-5212",
            "fax_number": "650-873-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE R. LEE, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-225-2686",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "48312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in So. San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.