Active NPI
Jessie V. Vallee, DDS Inc.
- General Practice Dentistry
- Menlo Park, CA
National Provider Identifier
1366957953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52951
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Menlo Park, CA
- NPI 1962518597
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.