Active NPI
Ju Young Lee DDS Inc
- Dentist
- Anaheim, CA
National Provider Identifier
1235663840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61258
- Legal business name
- JU YOUNG LEE DDS INC
- Practice address
- 1201 N Euclid St
Anaheim, CA 92801-1954 - Phone
- (714) 817-8345
- Fax
- (714) 224-7688
- NPI assigned
- Apr 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ju Young Lee, D.D.S
- Title
- Dentist
- Phone
- (480) 304-2875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61258 | CA | Primary |
Addresses
Primary practice location
1201 N Euclid St
Anaheim, CA 92801-1954
Mailing address
1201 N Euclid St
Anaheim, CA 92801-1954
Phone (714) 817-8345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Ju Young Lee DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1407380025
Locations
2500 W 8th St
Ste 106
Los Angeles, CA 90057
Phone (213) 381-2827
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Phoenix, AZ
- NPI 1861402737
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1720294184
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1073432373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552953600000",
"number": "1235663840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011954",
"telephone_number": "714-817-8345",
"fax_number": "714-224-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011954",
"telephone_number": "714-817-8345",
"fax_number": "714-224-7688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JU YOUNG LEE DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-20",
"last_updated": "2019-03-19",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JU",
"authorized_official_middle_name": "YOUNG",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "480-304-2875",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "61258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.