Active NPI
Patrick Wah Lee, D.D.S
- Pediatric Dentistry
- Irvine, CA
National Provider Identifier
1326258112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 46094
- Practice address
- 2500 Alton Pkwy
Suite 206
Irvine, CA 92606-5024 - Phone
- (949) 833-7888
- Fax
- (949) 833-7887
- NPI assigned
- May 23, 2007
- Last updated
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46094 | CA | |
| Pediatric Dentistry | 1223P0221X | 46094 | CA | Primary |
Addresses
Primary practice location
2500 Alton Pkwy
Suite 206
Irvine, CA 92606-5024
Mailing address
2500 Alton Pkwy
Suite 206
Irvine, CA 92606-5024
Phone (949) 833-7888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46094 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick W Lee Dental Corporation | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1326258112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 ALTON PKWY",
"address_2": "SUITE 206",
"city": "IRVINE",
"state": "CA",
"postal_code": "926065024",
"telephone_number": "949-833-7888",
"fax_number": "949-833-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ALTON PKWY",
"address_2": "SUITE 206",
"city": "IRVINE",
"state": "CA",
"postal_code": "926065024",
"telephone_number": "949-833-7888",
"fax_number": "949-833-7887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PATRICK",
"middle_name": "WAH",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46094",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "46094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.