Soojin Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56284 Issued in CA

Practice address

16455 Main St
Ste 17
Hesperia, CA 92345-3554

Phone

(760) 244-6077

Fax

(760) 244-8345

NPI assigned

Jan 7, 2008

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Practice roles

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.

• Cox Dental Corporation

  dba Gentle Dental Hesperia

  • General Practice Dentistry
  • Hesperia, CA
  • NPI 1174735179
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1417132648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 MAIN ST",
            "address_2": "STE 17",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453554",
            "telephone_number": "760-244-6077",
            "fax_number": "760-244-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 MAIN ST",
            "address_2": "STE 17",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453554",
            "telephone_number": "760-244-6077",
            "fax_number": "760-244-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOOJIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdi Adnan Lebadah, PHARM D
• Coretta T Leduff, LVN
• John Lee, DMD
• Raymond Lee, D.D.S
• San H Lee
• Andrea Leedberg
• Stephanie Lemke
• Sabrina Frances Lemons
• Asucena M Leon
• Edaurdo Leon, MBA, CHW

• General Practice Dentistry in Hesperia, CA
• Providers in Hesperia, 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 Jan 7, 2008; 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.