John J. Lee DDS PC

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

D7463 Issued in OR

Legal business name

JOHN J. LEE DDS PC

Doing business as

Farmington Dental Care

Practice address

12755 SW 2ND St
Suite a
Beaverton, OR 97005-2767

Phone

(503) 644-1126

Fax

(503) 644-0692

NPI assigned

Aug 13, 2010

Organization subpart

No

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

Authorized official

Name

Carole D Hall

Title

Office Manager

Phone

(503) 644-1126

Specialties & licenses 1

Addresses

Other names 1

• Farmington Dental Care Doing business as

Locations

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1265747331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12755 SW 2ND ST STE A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052765",
            "telephone_number": "503-644-1126",
            "fax_number": "503-644-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 SW 2ND ST",
            "address_2": "SUITE A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052767",
            "telephone_number": "503-644-1126",
            "fax_number": "503-644-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. LEE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-644-1126"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OR",
            "license": "D7463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rural Acute Care Hospital in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Rural Acute Care Hospital in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.