Individual provider Active NPI

Cheryl M. Lee, D.D.S.

  • Pediatric Dentistry
  • Sunnyvale, CA
National Provider Identifier
1306801204
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
49137 Issued in CA
Practice address
1210 E Arques Ave Ste 205
Sunnyvale, CA 94085-5422
Phone
(650) 965-8688
Fax
(650) 965-7988
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 49137 CA Primary

Addresses

Primary practice location

1210 E Arques Ave Ste 205
Sunnyvale, CA 94085-5422

Mailing address

1174 Castro Street
Suite 150
Mountain View, CA 94040-2569
Phone (650) 965-8688

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

LicenseStateTypeSpecialty
49137CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1306801204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 CASTRO STREET",
            "address_2": "SUITE 150",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402569",
            "telephone_number": "650-965-8688",
            "fax_number": "650-965-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E ARQUES AVE STE 205",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855422",
            "telephone_number": "650-965-8688",
            "fax_number": "650-965-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHERYL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "49137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.