Active NPI
Christine Y. Lee, DDS
- Dentist
- Santa Clara, CA
National Provider Identifier
1700025632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43809
- Practice address
- 3931 Rivermark PLZ
Santa Clara, CA 95054-4156 - Phone
- (408) 988-7788
- Fax
- (408) 988-7741
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 43809 | CA | Primary |
Addresses
Primary practice location
3931 Rivermark PLZ
Santa Clara, CA 95054-4156
Mailing address
3931 Rivermark Plaza
Santa Clara, CA 95054
Phone (408) 988-7788
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 |
|---|---|---|---|
| 43809 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1700025632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3931 RIVERMARK PLAZA",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95054",
"telephone_number": "408-988-7788",
"fax_number": "408-988-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3931 RIVERMARK PLZ",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950544156",
"telephone_number": "408-988-7788",
"fax_number": "408-988-7741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTINE",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.