Active NPI
Jamie J. Lee, D.D.S.
- General Practice Dentistry
- Fullerton, CA
National Provider Identifier
1588099048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 62852
- Practice address
- 827 W Wilshire Ave
Fullerton, CA 92832 - Phone
- (714) 525-2347
- NPI assigned
- Sep 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 62852 | CA | Primary |
Addresses
Primary practice location
827 W Wilshire Ave
Fullerton, CA 92832
Mailing address
267 Huntington
Irvine, CA 92620-3784
Phone (818) 669-9872
Other practice location 1
1126 Lavender Ln
LA Canada, CA 91011-2339
Phone (818) 669-9872
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62852 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H. Curt Nelson DDS, a Dental Corporation | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Fullerton, CA
- NPI 1720484603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1588099048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 HUNTINGTON",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203784",
"telephone_number": "818-669-9872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 W WILSHIRE AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92832",
"telephone_number": "714-525-2347"
}
],
"practiceLocations": [
{
"address_1": "1126 Lavender Ln",
"address_purpose": "LOCATION",
"city": "LA Canada",
"state": "CA",
"postal_code": "910112339",
"country_code": "US",
"telephone_number": "818-669-9872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JAMIE",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "62852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.