NPIMap

Organization Active NPI

Ryan S C Lee,a Professional Dental Corporation

Doing business as atlantic pacific smile dental group

  • Dentist
  • Monterey Park, CA
National Provider Identifier
1225430473
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41594 Issued in CA
Legal business name
RYAN S C LEE,A PROFESSIONAL DENTAL CORPORATION
Doing business as
atlantic pacific smile dental group
Practice address
2111 S Atlantic Blvd
Monterey Park, CA 91754-6801
Phone
(323) 261-9999
Fax
(323) 260-7680
NPI assigned
Sep 18, 2014
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Dr. Ryan S C Lee, DDSNPI 1528105715
Title
President
Phone
(323) 261-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41594 CA Primary

Addresses

Primary practice location

2111 S Atlantic Blvd
Monterey Park, CA 91754-6801

Mailing address

2111 S Atlantic Blvd
Monterey Park, CA 91754-6801
Phone (323) 261-9999

Other names 1

  • atlantic pacific smile dental group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1225430473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 S ATLANTIC BLVD",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546801",
            "telephone_number": "323-261-9999",
            "fax_number": "323-260-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S ATLANTIC BLVD",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546801",
            "telephone_number": "323-261-9999",
            "fax_number": "323-260-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN S C LEE,A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "S C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-261-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "atlantic pacific smile dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.