NPIMap

Organization Active NPI

Megan Fulmer Ide DDS and Shirley T Lei DDS

  • General Practice Dentistry
  • Visalia, CA
National Provider Identifier
1306199260
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44678 Issued in CA
Legal business name
MEGAN FULMER IDE DDS AND SHIRLEY T LEI DDS
Practice address
1045 N Demaree St
Visalia, CA 93291-4119
Phone
(559) 625-2744
NPI assigned
Oct 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Megan IdeNPI 1487718847
Title
Dentist
Phone
(559) 625-2744

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 54890 CA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 44678 CA Primary

Addresses

Primary practice location

1045 N Demaree St
Visalia, CA 93291-4119

Mailing address

1045 N Demaree St
Visalia, CA 93291-4119
Phone (559) 625-2744

National Provider Directory

National Provider Directory

Locations

1045 N Demaree St
Visalia, CA 93291
Phone (559) 625-2744

Practitioners & affiliated clinicians

Practitioners 2

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": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1306199260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914119",
            "telephone_number": "559-625-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914119",
            "telephone_number": "559-625-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN FULMER IDE DDS AND SHIRLEY T LEI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "IDE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "559-625-2744"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54890",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.