Individual provider Active NPI

Vanessa Lee, DDS

  • General Practice Dentistry
  • Oceanside, CA
National Provider Identifier
1942300595
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51613 Issued in CA
Practice address
3609 Ocean Ranch Blvd Ste 205
Ste. G-1
Oceanside, CA 92056-8601
Phone
(760) 453-2900
Fax
(760) 453-2870
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51613 CA Primary

Addresses

Primary practice location

3609 Ocean Ranch Blvd Ste 205
Ste. G-1
Oceanside, CA 92056-8601

Mailing address

3609 Ocean Ranch Blvd Ste 205
2ND Floor
Oceanside, CA 92056-8601
Phone (760) 453-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418000348 CA Order and Referring Only - DentistPractitioner - Dentist 2961700448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Ranch Dentistry General Practice Current Accepting new patients

Locations

3609 Ocean Ranch Blvd
Ste 205
Oceanside, CA 92056
Phone (760) 453-2900

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.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1942300595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 OCEAN RANCH BLVD STE 205",
            "address_2": "2ND FLOOR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920568601",
            "telephone_number": "760-453-2900",
            "fax_number": "760-453-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 OCEAN RANCH BLVD STE 205",
            "address_2": "STE. G-1",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920568601",
            "telephone_number": "760-453-2900",
            "fax_number": "760-453-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.