Active NPI
Ann Lee, D.D.S.
- Dentist
- Goleta, CA
National Provider Identifier
1427416395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100631
- Practice address
- 164 Kinman Ave
Goleta, CA 93117-3481 - Phone
- (805) 617-7900
- Fax
- (805) 617-7899
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 100631 | CA | Primary |
Addresses
Primary practice location
164 Kinman Ave
Goleta, CA 93117-3481
Mailing address
915 N Milpas St
FL 2
Santa Barbara, CA 93103-2331
Phone (805) 617-7850
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161005000572 | CA | Order and Referring Only - Other (Non-Physician) | 7214225309 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1427416395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 N MILPAS ST",
"address_2": "FL 2",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931032331",
"telephone_number": "805-617-7850",
"fax_number": "805-963-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 KINMAN AVE",
"city": "GOLETA",
"state": "CA",
"postal_code": "931173481",
"telephone_number": "805-617-7900",
"fax_number": "805-617-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.