Individual provider Active NPI

Lee Edward Osnas, D.D.S.

  • Endodontics
  • Grass Valley, CA
National Provider Identifier
1891874293
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
42207 Issued in CA
Practice address
316 S Auburn St Ste 3
Grass Valley, CA 95945-7298
Phone
(530) 477-0765
Fax
(530) 477-0732
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 42207 CA Primary

Addresses

Primary practice location

316 S Auburn St Ste 3
Grass Valley, CA 95945-7298

Mailing address

316 S Auburn St Ste 3
Grass Valley, CA 95945-7298
Phone (530) 477-0765

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

State licenses

LicenseStateTypeSpecialty
42207CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891874293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S AUBURN ST STE 3",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457298",
            "telephone_number": "530-477-0765",
            "fax_number": "530-477-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S AUBURN ST STE 3",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457298",
            "telephone_number": "530-477-0765",
            "fax_number": "530-477-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSNAS",
        "first_name": "LEE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "42207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.