Individual provider Active NPI

Henry H. Lee, D.D.S.

  • General Practice Dentistry
  • Yorba Linda, CA
National Provider Identifier
1073727236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45134 Issued in CA
Practice address
17021 Yorba Linda Blvd
Suite 10
Yorba Linda, CA 92886-3743
Phone
(714) 524-1836
NPI assigned
May 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45134 CA Primary

Addresses

Primary practice location

17021 Yorba Linda Blvd
Suite 10
Yorba Linda, CA 92886-3743

Mailing address

17021 Yorba Linda Blvd
Suite 10
Yorba Linda, CA 92886-3743
Phone (714) 524-1836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115002184 CA Practitioner - Dentist 6608304845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Oct 13, 2024 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Oct 13, 2024 Accepting new patients
County of Los Angeles Current Accepting new patients
Henry H. Lee, DDS, General Dentistry Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

10953 Ramona Blvd
El Monte, CA 91731
Phone (626) 434-2500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073727236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17021 YORBA LINDA BLVD",
            "address_2": "SUITE 10",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863743",
            "telephone_number": "714-524-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 YORBA LINDA BLVD",
            "address_2": "SUITE 10",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863743",
            "telephone_number": "714-524-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HENRY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.