Charles J Lee, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

2051 Issued in CA

Practice address

14711 Princeton Ave Ste 12
Moorpark, CA 93021-1469

Phone

(805) 529-4821

Fax

(915) 744-5746

NPI assigned

Oct 22, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Paul H Jang DDS Inc

  • Dentist
  • Moorpark, CA
  • NPI 1760934038
  NPD
• Brian R Forcey DDS Aps

  • Dentist
  • Moorpark, CA
  • NPI 1831553643
  NPD (past)

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1336492891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26893 BOUQUET CANYON RD # 152",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503500",
            "telephone_number": "310-845-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14711 PRINCETON AVE STE 12",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211469",
            "telephone_number": "805-529-4821",
            "fax_number": "915-744-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28453",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105729",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28453",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "2051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kryska, OTR/L
• Chelsea Marie Kunapuli, AMFT
• Kathleen M Lane, FNP
• Vicki Wingkay Lau, PHARMD
• Nicole V Le, O.D.
• Brielle Leonard
• Rebecca Leonard
• Lev Grinman MD 2 PC
• Chester Lin, P.T.
• Amanda Livingston-Mejia, LCSW

• All providers in Moorpark, CA
• Dental Anesthesiology in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.