NPIMap

Organization Active NPI

Alexander Lee Dental Corporation

  • General Practice Dentistry
  • Canyon Country, CA
National Provider Identifier
1265291249
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALEXANDER LEE DENTAL CORPORATION
Practice address
18635 Soledad Canyon Rd Ste 108
Canyon Country, CA 91351-3723
Phone
(661) 299-2525
Fax
(661) 299-2525
NPI assigned
Mar 13, 2024
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Gladys G Magallon
Title
Senior Billing Coordinator
Phone
(661) 299-2525

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X
General Practice Dentistry 1223G0001X Primary
Pediatric Dentistry 1223P0221X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X

Addresses

Primary practice location

18635 Soledad Canyon Rd Ste 108
Canyon Country, CA 91351-3723

Mailing address

PO Box 1847
Canyon Country, CA 91386-1847
Phone (661) 299-2525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1265291249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913861847",
            "telephone_number": "661-299-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18635 SOLEDAD CANYON RD STE 108",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513723",
            "telephone_number": "661-299-2525",
            "fax_number": "661-299-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER LEE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "MAGALLON",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SENIOR BILLING COORDINATOR",
        "authorized_official_telephone_number": "661-299-2525"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.