Individual provider Active NPI

Un T Lee-McDaniel, D.D.S.

  • General Practice Dentistry
  • Palm Springs, CA
National Provider Identifier
1104017771
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43458 Issued in CA
Practice address
515 Desert Way
Palm Springs, CA 92264-1127
Phone
(760) 325-7158
Fax
(760) 327-4283
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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 43458 CA Primary

Addresses

Primary practice location

515 Desert Way
Palm Springs, CA 92264-1127

Mailing address

515 Desert Way
Palm Springs, CA 92264-1127
Phone (760) 325-7158

Other identifiers 1

IdentifierTypeStateIssuer
43458OtherCADENTAL INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
43458CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Un a Professional Dental Corp Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1104017771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 DESERT WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641127",
            "telephone_number": "760-325-7158",
            "fax_number": "760-327-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DESERT WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641127",
            "telephone_number": "760-325-7158",
            "fax_number": "760-327-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-MCDANIEL",
        "first_name": "UN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL INSURANCE",
            "identifier": "43458",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.