Active NPI
James Lee
- Dentist
- San Jose, CA
National Provider Identifier
1578010518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100804
- Practice address
- 370 Elan Village LN Unit 418
San Jose, CA 95134-2537 - Phone
- (909) 499-9678
- NPI assigned
- Sep 7, 2016
- Last updated
- Sep 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100804 | CA | Primary |
Addresses
Primary practice location
370 Elan Village LN Unit 418
San Jose, CA 95134-2537
Mailing address
370 Elan Village LN Unit 418
San Jose, CA 95134-2537
Phone (909) 499-9678
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170328001435 | CA | Order and Referring Only - Dentist | 4880979103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Jaehyung Lee Dental Coporation | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba James Jaehyung Lee Dental Corporation
- Dental Clinic/Center
- Ventura, CA
- NPI 1659182632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1578010518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 ELAN VILLAGE LN UNIT 418",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951342537",
"telephone_number": "909-499-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 ELAN VILLAGE LN UNIT 418",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951342537",
"telephone_number": "909-499-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAMES",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.