Organization Active NPI

Katherine J Lee DMD Inc

  • Dentist
  • Arcadia, CA
National Provider Identifier
1053077669
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KATHERINE J LEE DMD INC
Practice address
909 S Santa Anita Ave Ste D
Arcadia, CA 91006-2312
Phone
(626) 623-6388
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Katherine Jy-Shiuan Lee, DMD, MSNPI 1972069185
Title
Owner
Phone
(626) 321-3919

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

909 S Santa Anita Ave Ste D
Arcadia, CA 91006-2312

Mailing address

909 S Santa Anita Ave Ste D
Arcadia, CA 91006-2312
Phone (626) 623-6388

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1053077669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S SANTA ANITA AVE STE D",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062312",
            "telephone_number": "626-623-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S SANTA ANITA AVE STE D",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062312",
            "telephone_number": "626-623-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE J LEE DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "JY-SHIUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-321-3919",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.