Andrew Lee, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

058005 Issued in NY

Practice address

2801 Waterman Blvd Ste 290
Fairfield, CA 94534-2972

Phone

(707) 425-5666

NPI assigned

May 12, 2014

Last updated

Sep 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew D. Lee DDS, a Dental Corporation

  dba Concord Dental Specialty

  • Endodontics
  • Concord, CA
  • NPI 1780270736
  NPD Authorized official
• Michael Pham, DDS, Ms, Inc

  • Endodontics
  • Fairfield, CA
  • NPI 1427702836
  NPD
• North Valley Endodontics, P.a.

  dba Valley Endodontic Specialty Group

  • Endodontics
  • Phoenix, AZ
  • NPI 1659308641
  NPD (past)

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1700297819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 IRON POINT RD APT 623",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307808",
            "telephone_number": "410-456-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WATERMAN BLVD STE 290",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945342972",
            "telephone_number": "707-425-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14620",
            "country_code": "US",
            "telephone_number": "585-275-5007",
            "fax_number": "585-756-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "058005",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Leatherbury, CCP
• Danette Lebaron, MD
• Heather Ashley Ledesma
• Michael Leduc, MOT/OTR/L
• Alison Woon Lin Lee, RN
• Andy W Lee, D.O.
• Bonni Lee
• Daniel Gunjoo Lee
• Danielle Lee, DPM
• Frances Lee, DO

• Endodontics in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.