Organization Active NPI

Susan Thuyminh Lee D.D. S . Inc.

  • Dentist
  • West Sacramento, CA
National Provider Identifier
1497970354
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47750 Issued in CA
Legal business name
SUSAN THUYMINH LEE D.D. S . INC.
Practice address
970 Sacramento Ave
West Sacramento, CA 95605-1904
Phone
(916) 371-8455
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Susan Thuyminh Lee, D. D. S.
Title
Dentist
Phone
(916) 371-8455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 47750 CA Primary

Addresses

Primary practice location

970 Sacramento Ave
West Sacramento, CA 95605-1904

Mailing address

970 Sacramento Ave
West Sacramento, CA 95605-1904
Phone (916) 371-8455

National Provider Directory

National Provider Directory
Tax ID family
Susan Thuyminh Lee DD S Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

970 Sacramento Ave
West Sacramento, CA 95605
Phone (916) 371-8455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497970354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SACRAMENTO AVE",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956051904",
            "telephone_number": "916-371-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SACRAMENTO AVE",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956051904",
            "telephone_number": "916-371-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN THUYMINH LEE D.D. S . INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "THUYMINH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-371-8455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.