NPIMap

Organization Active NPI

Ki Baek Lee, DDS. Inc.

  • General Practice Dentistry
  • Bell Gardens, CA
National Provider Identifier
1508373002
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59419 Issued in CA
Legal business name
KI BAEK LEE, DDS. INC.
Practice address
6501 Eastern Ave.
#B
Bell Gardens, CA 90201
Phone
(323) 773-2082
Fax
(323) 560-3905
NPI assigned
Jan 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Ki Baek Lee, DDS
Title
Dentist
Phone
(323) 773-2082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 59419 CA Primary

Addresses

Primary practice location

6501 Eastern Ave.
#B
Bell Gardens, CA 90201

Mailing address

6501 Eastern Ave.
#B
Bell Gardens, CA 90201
Phone (323) 773-2082

Other names 1

  • K Smile Dental Other name

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1508373002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 EASTERN AVE.",
            "address_2": "#B",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-773-2082",
            "fax_number": "323-560-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 EASTERN AVE.",
            "address_2": "#B",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-773-2082",
            "fax_number": "323-560-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KI BAEK LEE, DDS. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KI",
        "authorized_official_middle_name": "BAEK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-773-2082",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K Smile Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bell Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.