Frederick Y Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21725 Issued in CA

Practice address

810 Avenida Pico
Suite W
San Clemente, CA 92673-5624

Phone

(949) 369-7200

Fax

(949) 369-7700

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kyu Lee DMD,Inc.

  • Dental Clinic/Center
  • San Clemente, CA
  • NPI 1053565564
  NPD (past)
• V.Mai DDS Inc

  • General Practice Dentistry
  • San Clemente, CA
  • NPI 1053755942
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528137429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 AVENIDA PICO,",
            "address_2": "SUITE W",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926735624",
            "telephone_number": "949-369-7200",
            "fax_number": "949-369-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 AVENIDA PICO",
            "address_2": "SUITE W",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926735624",
            "telephone_number": "949-369-7200",
            "fax_number": "949-369-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FREDERICK",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony T Ledonne, M.D.
• Debra J. Lee-Moreno, PSYD.
• Kimberley Anne Lee-Thorp
• Aaron Lee
• Crystal J Lee, DDS
• Heaven Lee
• Jacob K. Lee, D.D.S.
• Samuel Sung-Jae Lee, D.D.S., M.S.
• Bryan Leigh, M.D.
• Nicole Lynn Leland, DC

• General Practice Dentistry in San Clemente, CA
• Providers in San Clemente, 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 Jul 8, 2007; 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.