Active NPI
Anne R Lee, DDS
- Pediatric Dentistry
- South San Francisco, CA
National Provider Identifier
1639272834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DDS48312
- Practice address
- 1475 Huntington Ave
Ste 150
South San Francisco, CA 94080-5990 - Phone
- (560) 873-5212
- Fax
- (650) 873-8877
- NPI assigned
- Sep 6, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DDS48312 | CA | Primary |
Addresses
Primary practice location
1475 Huntington Ave
Ste 150
South San Francisco, CA 94080-5990
Mailing address
1475 Huntington Ave
Ste 150
South San Francisco, CA 94080-5990
Phone (560) 873-5212
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 |
|---|---|---|---|
| DDS48312 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1639272834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 HUNTINGTON AVE",
"address_2": "STE 150",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805990",
"telephone_number": "560-873-5212",
"fax_number": "650-873-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 HUNTINGTON AVE",
"address_2": "STE 150",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805990",
"telephone_number": "560-873-5212",
"fax_number": "650-873-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANNE",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "DDS48312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.