NPIMap

Organization Active NPI

Badii Lee Dental Corporation, Inc.

Doing business as Smile Wide

  • Dentist
  • Lynwood, CA
National Provider Identifier
1174913834
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56861 Issued in CA
Legal business name
BADII LEE DENTAL CORPORATION, INC.
Doing business as
Smile Wide
Practice address
3680 E Imperial Hwy
Suite 100
Lynwood, CA 90262-2663
Phone
(310) 761-8100
Fax
(310) 761-8105
NPI assigned
Feb 2, 2015
Last updated
Nov 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Daniel Harvey Lee, DDS, MBA
Title
President
Phone
(949) 596-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56861 CA Primary

Addresses

Primary practice location

3680 E Imperial Hwy
Suite 100
Lynwood, CA 90262-2663

Mailing address

19762 Macarthur Blvd.
100
Irvine, CA 92612-8275
Phone (949) 596-8100

Other names 1

  • Smile Wide Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Badii Lee Dental Corporation Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

3680 E Imperial Hwy
Ste 100
Lynwood, CA 90262
Phone (310) 761-8100

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1174913834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19762 MACARTHUR BLVD.",
            "address_2": "100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128275",
            "telephone_number": "949-596-8100",
            "fax_number": "562-424-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY",
            "address_2": "SUITE 100",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622663",
            "telephone_number": "310-761-8100",
            "fax_number": "310-761-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADII LEE DENTAL CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-596-8100",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Wide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.