Active NPI
David Bo Lee, DDS, Inc.
- General Practice Dentistry
- Fullerton, CA
National Provider Identifier
1649500166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DAVID BO LEE, DDS, INC.
- Practice address
- 942 W Orangethorpe Ave
Fullerton, CA 92832-2827 - Phone
- (714) 525-1130
- Fax
- (714) 525-1415
- NPI assigned
- Jan 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Bo Lee, D.D.S.
- Title
- President
- Phone
- (714) 525-1130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
942 W Orangethorpe Ave
Fullerton, CA 92832-2827
Mailing address
942 W Orangethorpe Ave
Fullerton, CA 92832-2827
Phone (714) 525-1130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B46196-01 | Other | CA | DELTA DENTAL HEALTHY FAMILY |
| G93421-01 | Other | CA | MEDI-CAL PROVIDER # |
Other names 1
- David B. Lee Family Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Fullerton, CA
- NPI 1609890631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262736000000",
"number": "1649500166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 W ORANGETHORPE AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322827",
"telephone_number": "714-525-1130",
"fax_number": "714-525-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 W ORANGETHORPE AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322827",
"telephone_number": "714-525-1130",
"fax_number": "714-525-1415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID BO LEE, DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "BO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-525-1130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL HEALTHY FAMILY",
"identifier": "B46196-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER #",
"identifier": "G93421-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "David B. Lee Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.