NPIMap

Organization Active NPI

Lee & Chung Dental Group Inc

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1033789730
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEE & CHUNG DENTAL GROUP INC
Doing business as
Smile Again Dental Group
Practice address
17607 Sherman Way Ste 206
Van Nuys, CA 91406-3500
Phone
(818) 776-9300
NPI assigned
Jun 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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

Authorized official

Name
Nathan Lee, DMDNPI 1023571510
Title
Ceo
Phone
(310) 621-5345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • Smile Again Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lee Chung Dental Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656806400000",
    "number": "1033789730",
    "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"
        },
        {
            "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": {
        "organization_name": "LEE & CHUNG DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-26",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-621-5345",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Again Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Again Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.