Individual provider Active NPI

Heidi Hiu Man Lee, DDS

  • Dentist
  • Morgan Hill, CA
National Provider Identifier
1417106162
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57637 Issued in CA
Practice address
1049 Cochrane Rd Ste 110
Morgan Hill, CA 95037-9081
Phone
(408) 778-4440
NPI assigned
Sep 17, 2008
Last updated
Jul 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57637 CA Primary

Addresses

Primary practice location

1049 Cochrane Rd Ste 110
Morgan Hill, CA 95037-9081

Mailing address

1049 Cochrane Rd Ste 110
Morgan Hill, CA 95037-9081
Phone (408) 778-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 12, 2016 through Feb 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
57637CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Reber, DDS. Ms, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1417106162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 COCHRANE RD STE 110",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950379081",
            "telephone_number": "408-778-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 COCHRANE RD STE 110",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950379081",
            "telephone_number": "408-778-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HEIDI",
        "middle_name": "HIU MAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.