Organization Active NPI

Jessie V. Vallee, DDS Inc.

  • General Practice Dentistry
  • Menlo Park, CA
National Provider Identifier
1366957953
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52951 Issued in CA
Legal business name
JESSIE V. VALLEE, DDS INC.
Practice address
1300 University Dr Ste 5
Menlo Park, CA 94025-4254
Phone
(650) 325-7711
Fax
(650) 325-7715
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Dr. Jessie Virginia Vallee, DDS
Title
President
Phone
(650) 325-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52951 CA Primary

Addresses

Primary practice location

1300 University Dr Ste 5
Menlo Park, CA 94025-4254

Mailing address

1300 University Dr Ste 5
Menlo Park, CA 94025-4254
Phone (650) 325-7711

National Provider Directory

National Provider Directory

Locations

1300 University Dr
Ste 5
Menlo Park, CA 94025
Phone (650) 325-7711

Practitioners & affiliated clinicians

Practitioners 1

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": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1366957953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNIVERSITY DR STE 5",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254254",
            "telephone_number": "650-325-7711",
            "fax_number": "650-325-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UNIVERSITY DR STE 5",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254254",
            "telephone_number": "650-325-7711",
            "fax_number": "650-325-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE V. VALLEE, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "VALLEE",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-325-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.