Individual provider Active NPI

Nancy Lee, D.D.S.

  • General Practice Dentistry
  • Burbank, CA
National Provider Identifier
1386041036
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32241 Issued in CA
Practice address
2901 W Olive Ave
Burbank, CA 91505-4536
Phone
(818) 563-9888
Fax
(818) 563-2888
NPI assigned
Nov 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150902003334 CA Order and Referring Only - DentistPractitioner - Dentist 8729394937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32241CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Lee, D.D.S. Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1386041036",
    "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": {
        "last_name": "LEE",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.