Stacey Lee, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

64745 Issued in CA

Practice address

348 Taraval St
San Francisco, CA 94116

Phone

(415) 564-6800

NPI assigned

Aug 26, 2015

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slee249854@direct-ucsfmedicalcenter.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stacey a Lee, a Dental Corporation

  • Periodontics
  • San Francisco, CA
  • NPI 1356818256
  NPD Authorized official
• UCSF School of Dentistry

  • Periodontics
  • San Francisco, CA
  • NPI 1740672005
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1154798007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 TARAVAL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 TARAVAL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-564-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Parnassus Ave Box 0762",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941430001",
            "country_code": "US",
            "telephone_number": "415-476-1731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10055 Miller Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950143468",
            "country_code": "US",
            "telephone_number": "408-446-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10440 S De Anza Blvd",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950143018",
            "country_code": "US",
            "telephone_number": "408-252-8877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "STACEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "64745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siu Pang Lee
• Sofia Lee
• Sonia Lee, M.D.
• Soo Mei Lee, AU.D., CCC-A
• Soyong Theresa Lee, ASW
• Stefani Lee
• Stephanie J Lee, DMD
• Stephanie W. Lee
• Stephen Lee
• Stephen K Lee, M.D.

• Periodontics in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.