Active NPI
Melinda Lee Tzeng, DDS
- Dentist
- San Leandro, CA
National Provider Identifier
1407997968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46488
- Practice address
- 15215 Washington Ave
San Leandro, CA 94579-1810 - Phone
- (510) 969-7050
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46488 | CA | Primary |
Addresses
Primary practice location
15215 Washington Ave
San Leandro, CA 94579-1810
Mailing address
2392 Cowper St
Palo Alto, CA 94301-4114
Phone (650) 321-0566
Other names 1
- Melinda Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46488 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Le's Dental Corporation | Dentist | 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.
-
- Dentist
- San Leandro, CA
- NPI 1861778631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1407997968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2392 COWPER ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943014114",
"telephone_number": "650-321-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15215 WASHINGTON AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945791810",
"telephone_number": "510-969-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TZENG",
"first_name": "MELINDA",
"middle_name": "LEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "LEE",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.