Organization Active NPI

Joseph W. Lee, a Professional Dental Corporation

  • Dentist
  • Diamond Bar, CA
National Provider Identifier
1104248566
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60609 Issued in CA
Legal business name
JOSEPH W. LEE, A PROFESSIONAL DENTAL CORPORATION
Practice address
888 Brea Canyon Rd
Ste 210
Diamond Bar, CA 91789
Phone
(909) 869-8500
Fax
(909) 869-8505
NPI assigned
Jan 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Joseph Weitai Lee, DDSNPI 1497033294
Title
President
Phone
(909) 869-8500

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: 193400000X SINGLE SPECIALTY GROUP 122300000X 60609 CA Primary

Addresses

Primary practice location

888 Brea Canyon Rd
Ste 210
Diamond Bar, CA 91789

Mailing address

888 Brea Canyon Rd
Ste 210
Diamond Bar, CA 91789
Phone (909) 869-8500

Other names 1

  • Diamond Creek Dental Doing business as

National Provider Directory

National Provider Directory

Locations

21038 Golden Springs Dr
#D9
Diamond Bar, CA 91789

888 Brea Canyon Rd
Ste 210
Diamond Bar, CA 91789
Phone (909) 869-8500

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": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1104248566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 BREA CANYON RD",
            "address_2": "STE 210",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "909-869-8500",
            "fax_number": "909-869-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 BREA CANYON RD",
            "address_2": "STE 210",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "909-869-8500",
            "fax_number": "909-869-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W. LEE, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WEITAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-869-8500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "60609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.