Alexander Lee, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

GRADUATION 05/2017 Issued in CA

Practice address

15422 Crenshaw Blvd
Gardena, CA 90249-4524

Phone

(310) 352-3949

NPI assigned

Apr 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Interoperability endpoints

• Direct secure messaging: alexander.lee@theci.eclinicaldirectplus.com

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.

• T H E Clinic Inc

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1023287679

  Single Specialty

  Medicare reassignment NPD
• Mai and Lee Dental Corporation

  • General Practice Dentistry
  • Gardena, CA
  • NPI 1104423177
  NPD Authorized official
• T.H.E. Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1609251735
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1346772878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15422 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494524",
            "telephone_number": "415-531-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15422 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494524",
            "telephone_number": "310-352-3949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3721 S La Brea Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900165309",
            "country_code": "US",
            "telephone_number": "323-730-1920 x6022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALEXANDER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102433",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "GRADUATION 05/2017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quynhtran Hoang Le, D.D.S.
• Truc DO Le, RD
• Vy Tran Khanh Le
• Christa Lease
• Charlie Lebeau
• Ashley Lee
• Brenda Aria Lee
• Daniel Lee, M.D.
• Daniel Seungchul Lee, MSW
• Ernest Enoch Lee

• Dentist in Gardena, CA
• Providers in Gardena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.