NPIMap

Organization Active NPI

JS Lee, DDS, Inc.

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1760807838
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47387 Issued in CA
Legal business name
JS LEE, DDS, INC.
Doing business as
Dental Group of Anaheim
Practice address
50 S Anaheim Blvd
Suite 94
Anaheim, CA 92805-2931
Phone
(714) 635-5500
Fax
(714) 635-5544
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Dr. Jee S Lee, DDS
Title
President
Phone
(714) 743-3067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47387 CA Primary

Addresses

Primary practice location

50 S Anaheim Blvd
Suite 94
Anaheim, CA 92805-2931

Mailing address

50 S Anaheim Blvd
Suite 94
Anaheim, CA 92805-2931
Phone (714) 635-5500

Other names 1

  • Dental Group of Anaheim Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Group of Anaheim2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1760807838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S ANAHEIM BLVD",
            "address_2": "SUITE 94",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052931",
            "telephone_number": "714-635-5500",
            "fax_number": "714-635-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S ANAHEIM BLVD",
            "address_2": "SUITE 94",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052931",
            "telephone_number": "714-635-5500",
            "fax_number": "714-635-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS LEE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-743-3067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Group of Anaheim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.