Organization Active NPI

David D. Lee DDS.Professional Dental Corp.

  • General Practice Dentistry
  • Redding, CA
National Provider Identifier
1528112265
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36389 Issued in CA
Legal business name
DAVID D. LEE DDS.PROFESSIONAL DENTAL CORP.
Practice address
2138 Court St. Ste a
Redding, CA 96001-1912
Phone
(530) 241-1129
Fax
(530) 241-1188
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
David D Lee, DDSNPI 1508045733
Title
President
Phone
(530) 241-1129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 36389 CA Primary

Addresses

Primary practice location

2138 Court St. Ste a
Redding, CA 96001-1912

Mailing address

2138 Court St Ste a
Redding, CA 96001-2545
Phone (530) 241-1129

National Provider Directory

National Provider Directory

Locations

2138 Court St
Ste A
Redding, CA 96001
Phone (530) 222-5115

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1528112265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 COURT ST STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012545",
            "telephone_number": "530-241-1129",
            "fax_number": "530-241-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 COURT ST. STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011912",
            "telephone_number": "530-241-1129",
            "fax_number": "530-241-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D. LEE DDS.PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-241-1129",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.