NPIMap

Organization Active NPI

Badii Lee Dental Corporation, Inc.

Doing business as Smile Wide

  • Dentist
  • Van Nuys, CA
National Provider Identifier
1659761294
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56861 Issued in CA
Legal business name
BADII LEE DENTAL CORPORATION, INC.
Doing business as
Smile Wide
Practice address
14600 Sherman Way
Suite 100B
Van Nuys, CA 91405-5867
Phone
(818) 756-6950
Fax
(818) 994-0841
NPI assigned
Feb 4, 2015
Last updated
Nov 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Dr. Daniel Harvey Lee, DDS, MBA
Title
President
Phone
(949) 596-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56861 CA Primary

Addresses

Primary practice location

14600 Sherman Way
Suite 100B
Van Nuys, CA 91405-5867

Mailing address

19762 Macarthur Blvd.
100
Irvine, CA 92612-8275
Phone (949) 596-8100

Other names 1

  • Smile Wide Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Badii Lee Dental Corporation Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

19762 MacArthur Blvd
Ste 100
Irvine, CA 92612

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1659761294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19762 MACARTHUR BLVD.",
            "address_2": "100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128275",
            "telephone_number": "949-596-8100",
            "fax_number": "562-424-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY",
            "address_2": "SUITE 100B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055867",
            "telephone_number": "818-756-6950",
            "fax_number": "818-994-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADII LEE DENTAL CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-596-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Wide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.