NPIMap

Organization Active NPI

Lei Yin DDS Dental Corporation

Doing business as Smile ThirteeToo

  • Dentist
  • Newbury Park, CA
National Provider Identifier
1245497957
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50697 Issued in CA
Legal business name
LEI YIN DDS DENTAL CORPORATION
Doing business as
Smile ThirteeToo
Practice address
1000 Newbury Rd Ste 255
Newbury Park, CA 91320-6444
Phone
(805) 480-3934
Fax
(805) 480-3940
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Lei YinNPI 1255476164
Title
President
Phone
(805) 480-3934

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50697 CA Primary

Addresses

Primary practice location

1000 Newbury Rd Ste 255
Newbury Park, CA 91320-6444

Mailing address

1000 Newbury Rd Ste 255
Newbury Park, CA 91320-6444
Phone (805) 480-3934

Other names 1

  • Smile ThirteeToo Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Newbury Rd
Ste 255
Newbury Park, CA 91320
Phone (805) 480-3934

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1245497957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 255",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206444",
            "telephone_number": "805-480-3934",
            "fax_number": "805-480-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 255",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206444",
            "telephone_number": "805-480-3934",
            "fax_number": "805-480-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEI YIN DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "YIN",
        "authorized_official_first_name": "LEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-480-3934"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile ThirteeToo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.