NPIMap

Organization Active NPI

Lee Ghorbanian I LTD

Doing business as Sunrise Dental of Clackamas

  • General Practice Dentistry
  • Clackamas, OR
National Provider Identifier
1710295407
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEE GHORBANIAN I LTD
Doing business as
Sunrise Dental of Clackamas
Practice address
12100 SE Stevens CT
Suite 102
Clackamas, OR 97086-4707
Phone
(503) 644-1126
Fax
(503) 644-0692
NPI assigned
Sep 16, 2010
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. John J Lee, DDS
Title
Owner
Phone
(503) 644-1126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

12100 SE Stevens CT
Suite 102
Clackamas, OR 97086-4707

Mailing address

12100 SE Stevens CT
Suite 102
Clackamas, OR 97086-4707
Phone (503) 644-1126

Other names 1

  • Sunrise Dental of Clackamas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lee Ghorbanian I LTD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12100 SE Stevens Ct
Ste 102
Happy Valley, OR 97086
Phone (503) 644-1126

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1710295407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 SE STEVENS CT",
            "address_2": "SUITE 102",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970864707",
            "telephone_number": "503-644-1126",
            "fax_number": "503-644-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 SE STEVENS CT",
            "address_2": "SUITE 102",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970864707",
            "telephone_number": "503-644-1126",
            "fax_number": "503-644-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE GHORBANIAN I LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-644-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental of Clackamas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.