Organization Active NPI

Burlingame Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burlingame, CA
National Provider Identifier
1568889152
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
62295 Issued in CA
Legal business name
BURLINGAME ORTHODONTICS
Practice address
500 Primrose Rd
Burlingame, CA 94010-4088
Phone
(650) 342-5801
Fax
(650) 342-5803
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Dr. Victor S Lee, DDS, MSD
Title
Orthodontists/Owner
Phone
(650) 342-5801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 62295 CA Primary

Addresses

Primary practice location

500 Primrose Rd
Burlingame, CA 94010-4088

Mailing address

500 Primrose Rd
Burlingame, CA 94010-4088
Phone (650) 342-5801

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1568889152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PRIMROSE RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104088",
            "telephone_number": "650-342-5801",
            "fax_number": "650-342-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PRIMROSE RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104088",
            "telephone_number": "650-342-5801",
            "fax_number": "650-342-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGAME ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ORTHODONTISTS/OWNER",
        "authorized_official_telephone_number": "650-342-5801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "62295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.