Organization Active NPI

Lee and Lum Dental, PC

  • Dentist
  • Menlo Park, CA
National Provider Identifier
1578960621
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51490 Issued in CA
Legal business name
LEE AND LUM DENTAL, PC
Practice address
695 Oak Grove Ave
Suite 300
Menlo Park, CA 94025-4351
Phone
(415) 297-0592
NPI assigned
Dec 4, 2014
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Arnel Lee
Title
Owner/Dentist
Phone
(415) 297-0592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51490 CA Primary

Addresses

Primary practice location

695 Oak Grove Ave
Suite 300
Menlo Park, CA 94025-4351

Mailing address

695 Oak Grove Ave
Suite 300
Menlo Park, CA 94025-4351

National Provider Directory

National Provider Directory

Locations

695 Oak Grove Ave
Ste 300
Menlo Park, CA 94025
Phone (415) 297-0592

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1578960621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 OAK GROVE AVE",
            "address_2": "SUITE 300",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 OAK GROVE AVE",
            "address_2": "SUITE 300",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254351",
            "telephone_number": "415-297-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE AND LUM DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ARNEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "415-297-0592"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.