John Lee Jr DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOHN LEE JR DMD INC

Practice address

4183 Chino Hills Pkwy Ste H
Chino Hills, CA 91709-3781

Phone

(909) 393-5300

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

John Lee Jr., DMDNPI 1821495573

Title

President

Phone

(626) 372-5402

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Lee Jr., DMD

  • Dentist
  • Chino Hills, CA
  • NPI 1821495573
  NPD Authorized official

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1447824412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 JUNIPERO SERRA DR APT D",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4183 CHINO HILLS PKWY STE H",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093781",
            "telephone_number": "909-393-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LEE JR DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-372-5402",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821495573",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nisha Vinod Jayani, M.D.
• Jenny Soo Hoo OD, Inc.
• Isac Jeyapaul, OTR/L
• Jimmy Nguyen DDS Inc
• Steven Jin, BCBA
• Maria Delaluz Johnson-Gonzales, OT
• Auston Johnson
• Carrie Anna Johnson, LMFT
• Stephanie Johnson
• Taoheed Olajide Johnson, DMD

• Dental Clinic/Center in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.