Active NPI
Esther Kim Lee, DMD
- General Practice Dentistry
- Corona, CA
National Provider Identifier
1356694442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59924
- Practice address
- 2790 Cabot Dr
Suite 160
Corona, CA 92883-7380 - Phone
- (951) 277-2416
- NPI assigned
- Oct 26, 2012
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 59924 | CA | Primary |
Addresses
Primary practice location
2790 Cabot Dr
Suite 160
Corona, CA 92883-7380
Mailing address
10620 Costello Dr
Tustin, CA 92782-1403
Phone (714) 747-8400
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 |
|---|---|---|---|
| 59924 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1356694442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10620 COSTELLO DR",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821403",
"telephone_number": "714-747-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 CABOT DR",
"address_2": "SUITE 160",
"city": "CORONA",
"state": "CA",
"postal_code": "928837380",
"telephone_number": "951-277-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ESTHER",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.