Organization Active NPI

Garrett a. Lee DDS, Inc.

  • Pediatric Dentistry
  • Sacramento, CA
National Provider Identifier
1194193680
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
59955 Issued in CA
Legal business name
GARRETT A. LEE DDS, INC.
Practice address
8241 Bruceville Rd
Suite 180
Sacramento, CA 95823-2365
Phone
(808) 783-7174
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Dr. Garrett Adam Lee, DDSNPI 1124292388
Title
President
Phone
(808) 783-7174

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 59955 CA Primary

Addresses

Primary practice location

8241 Bruceville Rd
Suite 180
Sacramento, CA 95823-2365

Mailing address

8241 Bruceville Rd
Suite 180
Sacramento, CA 95823-2365
Phone (808) 783-7174

Other names 1

  • Dr. Garrett Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8241 Bruceville Rd
Ste 180
Sacramento, CA 95823
Phone (808) 783-7174

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1194193680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8241 BRUCEVILLE RD",
            "address_2": "SUITE 180",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232365",
            "telephone_number": "808-783-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8241 BRUCEVILLE RD",
            "address_2": "SUITE 180",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232365",
            "telephone_number": "808-783-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT A. LEE DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-783-7174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Garrett Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.