Individual provider Active NPI

David D Lee, DMD

  • Dentist
  • South Pasadena, CA
National Provider Identifier
1477070928
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108621 Issued in CA
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

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
108621CAMDCounselor
7001OKMDDentist
33965TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Saas PA CurrentSince Oct 1, 2021 Accepting new patients
Okc Dental Health Associates, P.C. Past Accepting new patients
Danny Lee, D.M.D a Professional Corp PastSince Dec 1, 2024 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.

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.

Verify at the official NPI Registry.