Sean Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36259 Issued in CA

Practice address

4016 University Pkwy
San Bernardino, CA 92407-1821

Phone

(909) 880-1600

Fax

(909) 880-1633

NPI assigned

May 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• S Lee Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Crestline, CA
  • NPI 1801553540
  NPD Authorized official
• Sean S. Lee, D.D.S., Inc.

  • General Practice Dentistry
  • Colton, CA
  • NPI 1659631521
  NPD Authorized official
• Saman Ghaemmaghami DMD a Professional Dental Corporation

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1104420157
  NPD

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1497912281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 UNIVERSITY PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071821",
            "telephone_number": "909-880-1600",
            "fax_number": "909-880-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 UNIVERSITY PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071821",
            "telephone_number": "909-880-1600",
            "fax_number": "909-880-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keshawn Renee Lee
• Kwang Suhn Lee, D.D.S.
• Lauren Ashley Marie Lee
• Lisa Young Lee
• Sang Dae Lee, DPM
• Seong Hak Lee
• Thomas Lee
• Tonna Lee
• Woo Yong Lee, D.D.S.
• Yehjee Lee

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.