Active NPI
Jefferey Szean Lee, D.D.S
- General Practice Dentistry
- Mount Shasta, CA
National Provider Identifier
1851487300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48946
- Practice address
- 705 S a St
Mount Shasta, CA 96067-2704 - Phone
- (530) 926-5296
- Fax
- (530) 926-0520
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48946 | CA | Primary |
Addresses
Primary practice location
705 S a St
Mount Shasta, CA 96067-2704
Mailing address
705 S a St
Mount Shasta, CA 96067-2704
Phone (530) 926-5296
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1851487300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 S A ST",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672704",
"telephone_number": "530-926-5296",
"fax_number": "530-926-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 S A ST",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672704",
"telephone_number": "530-926-5296",
"fax_number": "530-926-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JEFFEREY",
"middle_name": "SZEAN",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Shasta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.