Organization Active NPI

Andy W Lee DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Sacramento, CA
National Provider Identifier
1346739802
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
63331 Issued in CA
Legal business name
ANDY W LEE DDS INC
Practice address
8021 Florin Rd
Sacramento, CA 95828-3140
Phone
(916) 383-5171
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Dr. Andy Lee, DDS
Title
Owner
Phone
(916) 383-5171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 63331 CA Primary

Addresses

Primary practice location

8021 Florin Rd
Sacramento, CA 95828-3140

Mailing address

8021 Florin Rd
Sacramento, CA 95828-3140

Other names 1

  • Florin Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8021 Florin Rd
Sacramento, CA 95828
Phone (916) 383-5171

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1346739802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958283140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958283140",
            "telephone_number": "916-383-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY W LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-383-5171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "63331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florin Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florin Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.