Active NPI
Grace Heekyong Lee, D.D.S.
- Dentist
- Buena Park, CA
National Provider Identifier
1356674725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58462
- Practice address
- 7841 Commonwealth Ave
Buena Park, CA 90621-2422 - Phone
- (714) 739-7173
- Fax
- (714) 739-7174
- NPI assigned
- Sep 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 58462 | CA | Primary |
Addresses
Primary practice location
7841 Commonwealth Ave
Buena Park, CA 90621-2422
Mailing address
7841 Commonwealth Ave
Buena Park, CA 90621-2422
Phone (714) 739-7173
Other names 1
- Dr. Grace Heekyong Kang-Lee
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 |
|---|---|---|---|
| 58462 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1356674725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7841 COMMONWEALTH AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212422",
"telephone_number": "714-739-7173",
"fax_number": "714-739-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7841 COMMONWEALTH AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212422",
"telephone_number": "714-739-7173",
"fax_number": "714-739-7174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GRACE",
"middle_name": "HEEKYONG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "KANG-LEE",
"middle_name": "HEEKYONG",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.