Active NPI
Karina Carrou Lee, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Jose, CA
National Provider Identifier
1992264295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 103309
- Practice address
- 1095 E Brokaw Rd Ste 40
San Jose, CA 95131-2321 - Phone
- (408) 437-1111
- NPI assigned
- Mar 16, 2019
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 103309 | CA | Primary |
Addresses
Primary practice location
1095 E Brokaw Rd Ste 40
San Jose, CA 95131-2321
Mailing address
1500 Judah St Apt 8
San Francisco, CA 94122-1701
Phone (415) 260-3016
Other names 1
- Carrou Lee
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 |
|---|---|---|---|
| 103309 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aulakh Dental Corporation | Multi-Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552694400000",
"number": "1992264295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 JUDAH ST APT 8",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221701",
"telephone_number": "415-260-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 E BROKAW RD STE 40",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951312321",
"telephone_number": "408-437-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KARINA",
"middle_name": "CARROU",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-16",
"last_updated": "2019-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "103309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARROU",
"last_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.