Individual provider Active NPI

Dennis D. Lee, MSTCM, PHARMD

  • Acupuncturist
  • Oakland, CA
National Provider Identifier
1568497345
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7638 Issued in CA
Practice address
1940 Webster St Ste 201
Oakland, CA 94612-2932
Phone
(510) 832-4372
Fax
(510) 834-4372
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC7638 CA Primary

Addresses

Primary practice location

1940 Webster St Ste 201
Oakland, CA 94612-2932

Mailing address

1940 Webster St Ste 201
Oakland, CA 94612-2932
Phone (510) 832-4372

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
AC7638CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568497345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 WEBSTER ST STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122932",
            "telephone_number": "510-832-4372",
            "fax_number": "510-834-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 WEBSTER ST STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122932",
            "telephone_number": "510-832-4372",
            "fax_number": "510-834-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DENNIS",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MSTCM, PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.