Individual provider Active NPI

Albert Lee, DDS

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1184029258
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32479 Issued in CA
Practice address
10470 Foothill Blvd Ste 126
Rancho Cucamonga, CA 91730-6945
Phone
(909) 989-7888
Fax
(909) 989-9378
NPI assigned
Oct 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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 32479 CA Primary

Addresses

Primary practice location

10470 Foothill Blvd Ste 126
Rancho Cucamonga, CA 91730-6945

Mailing address

10470 Foothill Blvd Ste 126
Rancho Cucamonga, CA 91730-6945
Phone (909) 989-7888

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
32479CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
F.R Edalatpajouh Dental Inc PastSince Dec 22, 2024 Accepting new patients
Dr Albert Lee DDS. Inc. General Practice Past Accepting new patients

Organizations & group practices 2

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": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1184029258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 FOOTHILL BLVD STE 126",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306945",
            "telephone_number": "909-989-7888",
            "fax_number": "909-989-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 FOOTHILL BLVD STE 126",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306945",
            "telephone_number": "909-989-7888",
            "fax_number": "909-989-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.