Seung Jae Lee, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

60179 Issued in CA

Practice address

2288 Daniels St
Manteca, CA 95337-6706

Phone

(209) 456-5610

NPI assigned

Sep 1, 2011

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Robert P. Nakaki Dental Corporation

  • General Practice Dentistry
  • Manteca, CA
  • NPI 1841471299
  NPD (past)

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1205117421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PARK AVE",
            "address_2": "#503",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083595",
            "telephone_number": "415-314-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 DANIELS ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953376706",
            "telephone_number": "209-456-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEUNG JAE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan S Lee, D.D.S.
• Clifford B Lee, PHARMD
• Jon G. Lee, MD
• Mickey Lee
• Renee Jeanne Lee, R.N., N.P.
• Steven Eugene Lee, MD
• Beverly M Lenhardt, RDAEF2 CDA
• Delylah M Leon
• Estefani Leon
• Jason Leung

• Dentist in Manteca, CA
• Providers in Manteca, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.