Nathan Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104104 Issued in CA

Practice address

17607 Sherman Way Ste 206
Van Nuys, CA 91406-3500

Phone

(818) 776-9300

NPI assigned

Apr 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lee & Chung Dental Group Inc

  dba Smile Again Dental Group

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1033789730
  NPD Authorized official
• Lee & Chung Dental Group Inc

  dba Smile Again Dental Group

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1225601495
  NPD Authorized official
• Mirach LLC

  dba Kounsel

  • Counselor
  • San Francisco, CA
  • NPI 1972179034
  NPD (past)

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1023571510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17607 SHERMAN WAY STE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063500",
            "telephone_number": "818-776-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17607 SHERMAN WAY STE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063500",
            "telephone_number": "818-776-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NATHAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Young Lee, M.D.
• Hsingyee Lee, M.D.
• James Lee
• Kang Ku Lee, D.D.S.
• Myung Hoon Lee, MD
• Ray Lee
• Robert K Lee, M.D.
• Simon Yoon Lee
• Sung Wook Lee, L.A.C.
• Sungah Lee, DMD

• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.