Organization Active NPI

Charles M. Lee DDS Inc.,

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1053510495
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41106 Issued in CA
Legal business name
CHARLES M. LEE DDS INC.,
Practice address
9000 Ming Ave
Suite T-2
Bakersfield, CA 93311-1318
Phone
(661) 663-8687
Fax
(661) 663-8693
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Charles Lee, DDSNPI 1326474719
Title
Owner/President
Phone
(661) 663-8687

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 SINGLE SPECIALTY GROUP 1223G0001X 41106 CA Primary

Addresses

Primary practice location

9000 Ming Ave
Suite T-2
Bakersfield, CA 93311-1318

Mailing address

9000 Ming Ave
Suite T-2
Bakersfield, CA 93311-1318
Phone (661) 663-8687

National Provider Directory

National Provider Directory

Locations

9000 Ming Ave
Ste T2
Bakersfield, CA 93311
Phone (661) 663-8687

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1053510495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 MING AVE",
            "address_2": "SUITE T-2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111318",
            "telephone_number": "661-663-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 MING AVE",
            "address_2": "SUITE T-2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111318",
            "telephone_number": "661-663-8687",
            "fax_number": "661-663-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M. LEE DDS INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "661-663-8687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.