Gannon Ka Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48629 Issued in CA

Practice address

26800 Crown Valley Pkwy Ste 405
Mission Viejo, CA 92691-8022

Phone

(949) 448-7667

Fax

(949) 586-6525

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Roar Associates Inc.

  • General Practice Dentistry
  • Mission Viejo, CA
  • NPI 1083149942
  NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1386783736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 405",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918022",
            "telephone_number": "949-448-7667",
            "fax_number": "949-586-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 405",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918022",
            "telephone_number": "949-448-7667",
            "fax_number": "949-586-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GANNON",
        "middle_name": "KA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Leavitt, MD
• Alexis Noelia Leblanc, LMFT
• Tanya Stephanie Lechuga
• Lee Burnett DO a Professional Corporation
• Carolina Keyjung Lee, O.D.
• Isaiah Lee, RN
• Jae K Lee, M.D.
• Lillian Kim Lee, M.D.
• Michael K Lee, M.D.
• Michelle Ji-Eun Lee, MD

• General Practice Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.