Kenenth K. Lee, D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

40652 Issued in CA

Legal business name

KENENTH K. LEE, D.D.S., INC.

Practice address

4755 E. Anaheim St.
Long Beach, CA 90804

Phone

(562) 494-5060

NPI assigned

Oct 24, 2014

Organization subpart

Yes

Parent organization

KENENTH K. LEE, D.D.S., INC.As reported in NPPES

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

Authorized official

Name

Sokvy Ngong

Title

Office Manager

Phone

(562) 494-5060

Specialties & licenses 2

Addresses

Part of

Kenenth K Lee DDS Inc

Locations

Practitioners 1

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

• Kenneth K Lee, D.D.S.

  • Dentist
  • Long Beach, CA
  • NPI 1417905233
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1487059010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043123",
            "telephone_number": "562-494-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 E. ANAHEIM ST.",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90804",
            "telephone_number": "562-494-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENENTH K. LEE, D.D.S., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENENTH K. LEE, D.D.S., INC.",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "NGONG",
        "authorized_official_first_name": "SOKVY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-494-5060"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40652",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "40652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Kemp
• Diane Kemp
• Kellee Kemp
• Michelle Kendall, PHARM.D.
• Timothy Ralph Kendrick
• Chamreun Keng, MPH
• Martin Ira Kenigsberg, PH.D.
• Bernadette Marlene Kennard
• Chrissy Kennedy
• Lakisha Dominique Kennedy

• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.