Active NPI
David D Lee, DMD
- Dentist
- South Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108621
- Practice address
- 1928 Huntington Dr
South Pasadena, CA 91030-4874 - Phone
- (626) 441-5000
- NPI assigned
- Aug 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33965 | TX | |
| Dentist | 122300000X | 108621 | CA | Primary |
| Dentist | 122300000X | 7001 | OK |
Addresses
Primary practice location
1928 Huntington Dr
South Pasadena, CA 91030-4874
Mailing address
1174 N Voyager LN
Anaheim, CA 92801-1795
Phone (562) 667-6593
Other practice location 1
9072 W Highway 70
Durant, OK 74701-6513
Phone (580) 931-9800
Other practice location 2
3839 McKinney Ave Ste 130
Dallas, TX 75204-1489
Phone (972) 808-7676
Other practice location 3
346 N Azusa Ave
West Covina, CA 91791-1345
Phone (626) 859-2439
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 |
|---|---|---|---|
| 108621 | CA | MD | Counselor |
| 7001 | OK | MD | Dentist |
| 33965 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Saas PA | Current | Accepting new patients | |
| Okc Dental Health Associates, P.C. | Past | Accepting new patients | |
| Danny Lee, D.M.D a Professional Corp | Past | Accepting new patients |
Locations
3839 McKinney Ave
Ste 130
Dallas, TX 75204
Phone (972) 808-7676
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1609476183
-
- General Practice Dentistry
- West Covina, CA
- NPI 1053455501
-
- General Practice Dentistry
- Durant, OK
- NPI 1982024840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1477070928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 N VOYAGER LN",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011795",
"telephone_number": "562-667-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1928 HUNTINGTON DR",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304874",
"telephone_number": "626-441-5000"
}
],
"practiceLocations": [
{
"address_1": "9072 W Highway 70",
"address_purpose": "LOCATION",
"city": "Durant",
"state": "OK",
"postal_code": "747016513",
"country_code": "US",
"telephone_number": "580-931-9800",
"fax_number": "580-931-8050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3839 McKinney Ave Ste 130",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752041489",
"country_code": "US",
"telephone_number": "972-808-7676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "346 N Azusa Ave",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917911345",
"country_code": "US",
"telephone_number": "626-859-2439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "DAVID",
"middle_name": "D",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-25",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33965",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108621",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "7001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.