Active NPI
Brian Dalvin Lee, D.D.S.
- Pediatric Dentistry
- Foster City, CA
National Provider Identifier
1760856009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 19108
- Practice address
- 1291 E Hillsdale Blvd
Suite 100
Foster City, CA 94404-1220 - Phone
- (650) 574-4447
- Fax
- (650) 574-4041
- NPI assigned
- Nov 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19108 | CA | |
| Pediatric Dentistry | 1223P0221X | 19108 | CA | Primary |
Addresses
Primary practice location
1291 E Hillsdale Blvd
Suite 100
Foster City, CA 94404-1220
Mailing address
1291 E Hillsdale Blvd
Suite 100
Foster City, CA 94404-1220
Phone (650) 574-4447
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathon Everett Lee DDS Inc | Dentist | Past | Accepting new patients |
| Brian D Lee DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Foster City, CA
- NPI 1275545345
-
- Pediatric Dentistry
- Foster City, CA
- NPI 1760594642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1760856009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1291 E HILLSDALE BLVD",
"address_2": "SUITE 100",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944041220",
"telephone_number": "650-574-4447",
"fax_number": "650-574-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1291 E HILLSDALE BLVD",
"address_2": "SUITE 100",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944041220",
"telephone_number": "650-574-4447",
"fax_number": "650-574-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRIAN",
"middle_name": "DALVIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-24",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "19108",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "19108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foster City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.