Andrew Wonjoo Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49134 Issued in CA

Practice address

30212 Tomas
Suite 165
Rancho Santa Margarita, CA 92688-2172

Phone

(949) 766-0034

NPI assigned

Apr 15, 2015

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Andrew Lee D.D.S., Inc

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1366710261
  NPD (past) Authorized official

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1134515265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30212 TOMAS",
            "address_2": "SUITE 165",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882172",
            "telephone_number": "949-766-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS",
            "address_2": "SUITE 165",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882172",
            "telephone_number": "949-766-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREW",
        "middle_name": "WONJOO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Elizabeth Langmore, PH.D.
• Amir Larijani, D.D.S
• Colton Larson, DPT
• Linda Jean Larson
• Natalie Chung Lavinder, OD
• Kevin Kwonki Lee, DDS
• Mido Lee, R.D.H. A.P
• Ryan Aesop Lee, MS, ATC
• Tina-Siu Lee
• Craig A Legacy, PT,ATC,CSCS

• General Practice Dentistry in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, 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 Apr 15, 2015; 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.