Kevin Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100632 Issued in CA

Practice address

255 W Central Ave Ste 101
Brea, CA 92821-3373

Phone

(714) 529-5999

NPI assigned

Jul 7, 2015

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Kevin K. Lee Dental Corporation

  • Dental Clinic/Center
  • Brea, CA
  • NPI 1528707197
  NPD Authorized official
• Afshar and Habashi Dental Corporation

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1033217526

  General Practice

  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1265815369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8755 E CLOUDVIEW WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081658",
            "telephone_number": "408-464-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W CENTRAL AVE STE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213373",
            "telephone_number": "714-529-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Wilshire Blvd Ste 646",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035674",
            "country_code": "US",
            "telephone_number": "310-829-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Lee, DDS
• Daniel Lee, DDS
• Dong Sup Lee
• Jae Won Lee, L.AC
• Janice Jungeun Lee
• Priscilla Ginger Lee, D.D.S.
• Priscilla S Lee
• Robert Ken Lee, O.D.
• Sandra Sungmi Lee, COTA/L
• Sang Chun Lee, D.D.S.

• General Practice Dentistry in Brea, CA
• Providers in Brea, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.