Active NPI
Nancy Lee, D.D.S. Inc.
- Dentist
- Burbank, CA
National Provider Identifier
1356462584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32241
- Legal business name
- NANCY LEE, D.D.S. INC.
- Practice address
- 2901 W Olive Ave
Burbank, CA 91505-4536 - Phone
- (818) 563-9888
- Fax
- (818) 563-2888
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Lee, D.D.S.
- Title
- Owner
- Phone
- (818) 563-9888
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32241 | CA | Primary |
Addresses
Primary practice location
2901 W Olive Ave
Burbank, CA 91505-4536
Mailing address
2901 W Olive Ave
Burbank, CA 91505-4536
Phone (818) 563-9888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32241 | Other | CA | DENTAL LICENSE |
Other names 1
- Media Center Dental
National Provider Directory
National Provider DirectoryLocations
2901 W Olive Ave
Burbank, CA 91505
Phone (818) 473-1133
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Burbank, CA
- NPI 1386041036
-
- Dentist
- Burbank, CA
- NPI 1174715429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356462584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 W OLIVE AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054536",
"telephone_number": "818-563-9888",
"fax_number": "818-563-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 W OLIVE AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054536",
"telephone_number": "818-563-9888",
"fax_number": "818-563-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY LEE, D.D.S. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-563-9888",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "32241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "32241",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Media Center Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.