Active NPI
Claire Lee
- General Practice Dentistry
- Buena Park, CA
National Provider Identifier
1225365588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58988
- Practice address
- 52 Frances Cir
Buena Park, CA 90621-5001 - Phone
- (510) 967-1085
- NPI assigned
- Nov 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58988 | CA | Primary |
Addresses
Primary practice location
52 Frances Cir
Buena Park, CA 90621-5001
Mailing address
52 Frances Cir
Buena Park, CA 90621-5001
Phone (510) 967-1085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58988 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1225365588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 FRANCES CIR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906215001",
"telephone_number": "510-967-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 FRANCES CIR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906215001",
"telephone_number": "510-967-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CLAIRE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.