Individual provider Active NPI

Alex Cristopher Lee, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntington Park, CA
National Provider Identifier
1639738016
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
103738 Issued in CA
Practice address
6416 Santa Fe Ave
Huntington Park, CA 90255-3808
Phone
(213) 399-4711
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 103738 CA Primary

Addresses

Primary practice location

6416 Santa Fe Ave
Huntington Park, CA 90255-3808

Mailing address

3701 Homeland Dr
View Park, CA 90008-4921
Phone (213) 399-4711

Other practice location 1

2707 W Olympic Blvd Ste 202
Los Angeles, CA 90006-2859
Phone (213) 399-4711

Other practice location 2

121 N San Gabriel Blvd
San Gabriel, CA 91775-2426
Phone (213) 399-4711

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://topdentalhp.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200820002857 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779909734
I20221206003420 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779909734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1639738016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 HOMELAND DR",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900084921",
            "telephone_number": "213-399-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 SANTA FE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902553808",
            "telephone_number": "213-399-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 W Olympic Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900062859",
            "country_code": "US",
            "telephone_number": "213-399-4711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 N San Gabriel Blvd",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917752426",
            "country_code": "US",
            "telephone_number": "213-399-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALEX",
        "middle_name": "CRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "103738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://topdentalhp.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6416 Santa Fe Ave",
            "city": "Huntington Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902553808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.