Jae Bum Lee DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

62547 Issued in CA

Legal business name

JAE BUM LEE DDS INC

Practice address

401 S Glenoaks Blvd
#100
Burbank, CA 91502

Phone

(818) 566-4438

NPI assigned

Jul 12, 2017

Organization subpart

No

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

Authorized official

Name

Jae Bum Lee, DDSNPI 1609217736

Title

Dentist

Phone

(213) 999-4145

Specialties & licenses 1

Addresses

Other names 1

• Air Dental Burbank Doing business as

Locations

Practitioners 2

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

• Jae Bum Lee, D.D.S.

  • Dentist
  • Burbank, CA
  • NPI 1609217736
  NPD Authorized official
• Armen Hartoonian, DMD, CAGS

  • Prosthodontics
  • Burbank, CA
  • NPI 1578685236

  Dentist

  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497277321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S GLENOAKS BLVD STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022707",
            "telephone_number": "818-566-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GLENOAKS BLVD",
            "address_2": "#100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91502",
            "telephone_number": "818-566-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE BUM LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "BUM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "213-999-4145",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Air Dental Burbank",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Air Dental Burbank",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasmine Jackson
• Amaris Priscilla Jacobs
• Edwin Lawrence Jacobs, M.D.
• Jacqueline a. Kuraishi, D.D.S.,Inc.
• Jade Health Ventures, Inc
• Edward J Jahnke III, M.D.
• Manjula Jain, M.D.
• Ravin Jain, M.D.
• Jaklin Yasaman Licensed Marriage and Family Therapy Corporation
• Peter B Jalbuena, M.D.

• Dentist in Burbank, CA
• Providers in Burbank, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.