Jae Bum Lee, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

62547 Issued in CA

Practice address

401 S Glenoaks Blvd Ste 100
Burbank, CA 91502-2707

Phone

(818) 566-4438

NPI assigned

Jul 17, 2013

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

Locations

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

• Jae Bum Lee DDS Inc

  • Dentist
  • Burbank, CA
  • NPI 1497277321
  NPD Authorized official
• Armen Hartoonian Dental Corp

  • General Practice Dentistry
  • Burbank, CA
  • NPI 1336419852
  NPD (past)

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609217736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S GLENOAKS BLVD STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022707",
            "telephone_number": "818-566-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GLENOAKS BLVD STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022707",
            "telephone_number": "818-566-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE",
        "middle_name": "BUM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chih-Han Lee
• Christopher Sy Lee, M.D., M.B.A
• Daniel Wonil Lee, MD
• Evan Lee
• In Sook Lee, L.AC
• Janet Lee, L.AC., DIPL. OM
• Janice Lee, DPT
• Jarnette Hyun Lee, O.D.
• Jason F Lee, MD
• Jennifer S Lee, AGNP

• Dentist in Burbank, CA
• Providers in Burbank, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.