Individual provider Active NPI

Jennifer Soliman Tee, DDS

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1568541167
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40990 Issued in CA
Practice address
1400 N Main St
Santa Ana, CA 92701-2321
Phone
(714) 480-0434
Fax
(714) 480-0433
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

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
General Practice Dentistry 1223G0001X 40990 CA Primary

Addresses

Primary practice location

1400 N Main St
Santa Ana, CA 92701-2321

Mailing address

1600 E Hill St
Signal Hill, CA 90755-3612
Phone (562) 981-4050

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

LicenseStateTypeSpecialty
40990CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568541167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E HILL ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907553612",
            "telephone_number": "562-981-4050",
            "fax_number": "562-981-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012321",
            "telephone_number": "714-480-0434",
            "fax_number": "714-480-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEE",
        "first_name": "JENNIFER",
        "middle_name": "SOLIMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, 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.