Organization Active NPI

Dr. Jee S. Lee, D.D.S., Inc

Doing business as Dental Care of Irvine

  • Preferred Provider Organization
  • Irvine, CA
National Provider Identifier
1649514662
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
47387 Issued in CA
Legal business name
DR. JEE S. LEE, D.D.S., INC
Doing business as
Dental Care of Irvine
Practice address
4330 Barranca Pkwy Ste 230
Irvine, CA 92604-4756
Phone
(949) 786-1234
Fax
(949) 786-1515
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Jee Sung Lee, DDSNPI 1447444658
Title
Ceo
Phone
(714) 743-3067

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)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 47387 CA Primary

Addresses

Primary practice location

4330 Barranca Pkwy Ste 230
Irvine, CA 92604-4756

Mailing address

4330 Barranca Pkwy Ste 230
Irvine, CA 92604-4756
Phone (949) 786-1234

Other names 1

  • DENTAL CARE OF IRVINE Doing business as

National Provider Directory

National Provider Directory

Locations

4330 Barranca Pkwy
Ste 230
Irvine, CA 92604
Phone (949) 786-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1649514662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY STE 230",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044756",
            "telephone_number": "949-786-1234",
            "fax_number": "949-786-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY STE 230",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044756",
            "telephone_number": "949-786-1234",
            "fax_number": "949-786-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEE S. LEE, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEE",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-743-3067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "47387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTAL CARE OF IRVINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.