Organization Active NPI

Kevin P Lee DMD Inc

  • Dentist
  • Chico, CA
National Provider Identifier
1154913960
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KEVIN P LEE DMD INC
Practice address
952 Lupin Ave Ste 100
Chico, CA 95973-0933
Phone
(530) 715-7348
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Kevin Lee, DMD
Title
Ceo/President
Phone
(530) 715-7348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

952 Lupin Ave Ste 100
Chico, CA 95973-0933

Mailing address

952 Lupin Ave Ste 100
Chico, CA 95973-0933
Phone (530) 715-7348

National Provider Directory

National Provider Directory

Locations

952 Lupin Ave
Ste 100
Chico, CA 95973
Phone (530) 324-4300

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1154913960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 LUPIN AVE STE 100",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730933",
            "telephone_number": "530-715-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 LUPIN AVE STE 100",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730933",
            "telephone_number": "530-715-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P LEE DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "530-715-7348",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.