NPIMap

Organization Active NPI

Lee,N.Grace DDS,Inc

  • General Practice Dentistry
  • Stockton, CA
National Provider Identifier
1497095749
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47930 Issued in CA
Legal business name
LEE,N.GRACE DDS,INC
Practice address
7743 West LN
Suite C5
Stockton, CA 95210-3348
Phone
(209) 474-1101
Fax
(209) 474-9734
NPI assigned
Feb 25, 2013
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Nanjoo LeeNPI 1598833873
Title
Ceo
Phone
(209) 552-9158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47930 CA Primary

Addresses

Primary practice location

7743 West LN
Suite C5
Stockton, CA 95210-3348

Mailing address

7743 West LN
Suite C5
Stockton, CA 95210-3348

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1497095749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7743 WEST LN",
            "address_2": "SUITE C5",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7743 WEST LN",
            "address_2": "SUITE C5",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103348",
            "telephone_number": "209-474-1101",
            "fax_number": "209-474-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE,N.GRACE DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NANJOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-552-9158",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.