Jonathan D. Lee, D.D.S., Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

49924 Issued in CA

Legal business name

JONATHAN D. LEE, D.D.S., INC.

Practice address

555 Marin St
Suite 260
Thousand Oaks, CA 91360-4236

Phone

(805) 370-0110

Fax

(805) 370-3770

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Jonathan Lee, D.D.S.NPI 1669670113

Title

President

Phone

(805) 370-0110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan D. Lee, D.D.S.

  • Endodontics
  • Thousand Oaks, CA
  • NPI 1669670113
  NPD (past) Authorized official

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1922272004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MARIN ST",
            "address_2": "SUITE 260",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MARIN ST",
            "address_2": "SUITE 260",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604236",
            "telephone_number": "805-370-0110",
            "fax_number": "805-370-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN D. LEE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-370-0110",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "49924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.