Active NPI
Jane F Lee, D. D. S.
- General Practice Dentistry
- Thousand Oaks, CA
National Provider Identifier
1659598233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49360
- Practice address
- 1000 Newbury Rd Ste 225
Thousand Oaks, CA 91320-6442 - Phone
- (805) 497-3749
- Fax
- (805) 497-3740
- NPI assigned
- Apr 18, 2007
- 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 | 49360 | CA | Primary |
Addresses
Primary practice location
1000 Newbury Rd Ste 225
Thousand Oaks, CA 91320-6442
Mailing address
11679 Florencia LN
Porter Ranch, CA 91326-4608
Phone (626) 380-0810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170126002063 | CA | Order and Referring Only - Dentist | 0941582993 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49360 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1659598233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11679 FLORENCIA LN",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264608",
"telephone_number": "626-380-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NEWBURY RD STE 225",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913206442",
"telephone_number": "805-497-3749",
"fax_number": "805-497-3740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JANE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D. D. S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.