DR. JASON J. LEE (NPI# 1952533804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952533804 |
| Entity Type | Individual |
| Full Name | DR. JASON J. LEE |
| Credential | DDS |
| Practice Address |
770 Tamalpais Dr Ste 401a Corte Madera CA 94925-1700 |
| Practice Telephone | 4159245533 |
| Practice Fax Number | 4159241000 |
| Mailing Telephone | 4159245533 |
| Mailing Fax Number | 4159241000 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2011-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
58676 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1205398021 | Jason Lee | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottage Rd Ste 2n-b24, Valhalla, NY 10595-1524 | 2019-04-01 |
| 1063920858 | Jason Jung Lee | Dentist | 2486 W El Camino Real, Mountain View, CA 94040-1421 | 2018-01-16 |
| 1831600998 | Jason Yoonhyung Lee | Psychologist | 615 Seabright Ln, Solana Beach, CA 92075-1264 | 2017-10-17 |
| 1033633060 | Jason J Lee | Chiropractor | 12225 South St Ste 106, Artesia, CA 90701-7047 | 2017-08-01 |
| 1487188629 | Jason P Lee | Specialist | 14445 Olive View Dr # H1, Sylmar, CA 91342-1437 | 2017-04-14 |
| 1396088233 | Jason Lee | Anesthesiology | 141 E 3rd St Apt 10c, New York, NY 10009-7309 | 2013-03-28 |
| 1679817431 | Jason M Lee | Pharmacist | 2939 Hylan Blvd, Staten Island, NY 10306-4057 | 2012-11-19 |
| 1770848046 | Jason Lee | Dentist | 9738 Katy Fwy Ste 400, Houston, TX 77055-6214 | 2012-07-11 |
| 1407111339 | Jason Daniel Lee | Family Medicine | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236-9554 | 2012-07-06 |
| Street Address |
770 TAMALPAIS DR STE 401A |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139061 | California Center for Ms and Neurology Inc | Psychiatry & Neurology | 21 Tamal Vista Blvd Ste 175, Corte Madera, CA 94925 | 2018-06-26 |
| 1982130514 | Summer Nipomnick | Psychologist | 200 Tamal Plaza, Suite 235, Corte Madera, CA 94925 | 2017-05-02 |
| 1376784561 | Marcie Morton | Chiropractor | 2 Fifer Ave Ste 130, Corte Madera, CA 94925 | 2009-03-17 |
| 1154598365 | Kristine Kay Twite Lehnen | Registered Nurse | 42 Creekside Ct, Corte Madera, CA 94925 | 2008-05-15 |
| 1811163884 | Susan Mary Nickerson | Nurse Anesthetist, Certified Registered | 239 Koch Rd, Corte Madera, CA 94925 | 2008-04-30 |
| 1225150485 | Noreen P Dunnigan | Marriage & Family Therapist | 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 | 2007-04-06 |
| 1356477889 | Rochelle L Teising | Marriage & Family Therapist | 100 Tamal Vista, #160, Corte Madera, CA 94925 | 2007-02-26 |
| 1518019181 | Lynne Harris | Psychologist | 100 Tamal Plaza, Suite 108, Corte Madera, CA 94925 | 2007-01-17 |
| 1801975032 | Julie B Young | Dentist | 81 Casa Buena, Suite 6, Corte Madera, CA 94925 | 2006-11-06 |
| 1033294020 | Ann Margaret O'hare | Internal Medicine | 155 Golden Hind Passage, Corte Madera, CA 94925 | 2006-10-26 |
| Find all providers in zip 94925 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | CORTE MADERA |
| Zip Code | 94925 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.