Active NPI
Candy Lee, DDS
- General Practice Dentistry
- Mill Valley, CA
National Provider Identifier
1922248798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45727
- Practice address
- 163 Miller Ave Ste 1
Mill Valley, CA 94941-2759 - Phone
- (415) 388-8400
- Fax
- (415) 383-8615
- NPI assigned
- Mar 5, 2009
- Sex
- Female
- 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 | 45727 | CA | Primary |
Addresses
Primary practice location
163 Miller Ave Ste 1
Mill Valley, CA 94941-2759
Mailing address
163 Miller Ave Ste 1
Mill Valley, CA 94941-2759
Phone (415) 388-8400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45727 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yang & Lee DDS. Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Mill Valley, CA
- NPI 1285925495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1922248798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 MILLER AVE STE 1",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412759",
"telephone_number": "415-388-8400",
"fax_number": "415-383-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 MILLER AVE STE 1",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412759",
"telephone_number": "415-388-8400",
"fax_number": "415-383-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CANDY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.