NPIMap

Organization Active NPI

Badii Lee Dental Corporation, Inc

  • Pediatric Dentistry
  • Costa Mesa, CA
National Provider Identifier
1285995209
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BADII LEE DENTAL CORPORATION, INC
Practice address
1801 Newport Blvd
Suite B
Costa Mesa, CA 92627-2701
Phone
(949) 548-5588
Fax
(949) 548-5731
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Dr. Daniel Harvey Lee, DDS MDS
Title
Director/Owner
Phone
(949) 548-5588

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

1801 Newport Blvd
Suite B
Costa Mesa, CA 92627-2701

Mailing address

1801 Newport Blvd
Suite B
Costa Mesa, CA 92627-2701
Phone (949) 548-5588

Other names 1

  • SMILE WIDE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Badii Lee Dental Corporation Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1801 Newport Blvd
Ste B
Costa Mesa, CA 92627
Phone (949) 203-2452

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1285995209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NEWPORT BLVD",
            "address_2": "SUITE B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272701",
            "telephone_number": "949-548-5588",
            "fax_number": "949-548-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NEWPORT BLVD",
            "address_2": "SUITE B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272701",
            "telephone_number": "949-548-5588",
            "fax_number": "949-548-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADII LEE DENTAL CORPORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "949-548-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE WIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.