Jason Jung Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62858 Issued in CA

Practice address

2486 W El Camino Real
Mountain View, CA 94040-1421

Phone

(408) 309-5501

Fax

(408) 309-5501

NPI assigned

Jan 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jason J Lee ,DDS, Inc

  dba The Smile Company

  • Dental Clinic/Center
  • Santa Clara, CA
  • NPI 1245737246
  NPD Authorized official

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1063920858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VISTA MONTANA APT 1202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342718",
            "telephone_number": "408-309-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 W EL CAMINO REAL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401421",
            "telephone_number": "408-309-5501",
            "fax_number": "408-309-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JASON",
        "middle_name": "JUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Young Lee
• Elaine Lee
• Felix H Lee, MD
• George K. Lee, M.D.
• Hennim K Lee, PHARM.D
• Joon Hye Lee, D.C.
• Joseph Lee, D.D.S.
• Kevin Hyunyoung Lee, DC
• Mackenzie Lee, LCSW
• Max Lee

• General Practice Dentistry in Mountain View, CA
• Providers in Mountain View, 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 16, 2018; 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.