Individual provider Active NPI

William S Lee, DDS

  • Pediatric Dentistry
  • Granada Hills, CA
National Provider Identifier
1669065108
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
111901 Issued in CA
Practice address
18121 Chatsworth St Ste a
Granada Hills, CA 91344-5610
Phone
(818) 360-2131
NPI assigned
Feb 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 111901 CA Primary

Addresses

Primary practice location

18121 Chatsworth St Ste a
Granada Hills, CA 91344-5610

Mailing address

1409 S Westgate Ave Apt 301
Los Angeles, CA 90025-2236
Phone (443) 797-2720

Other practice location 1

310 S Lake Ave Ste B1
Pasadena, CA 91101-3540
Phone (626) 669-3141

Other practice location 2

3580 Grand Ave Ste K
Chino Hills, CA 91709-5401
Phone (909) 548-6900

Other practice location 3

20933 Devonshire St Ste 103
Chatsworth, CA 91311-2393
Phone (818) 739-0182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kohanzadeh Dental Corp PastSince Mar 3, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1669065108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 S WESTGATE AVE APT 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252236",
            "telephone_number": "443-797-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18121 CHATSWORTH ST STE A",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445610",
            "telephone_number": "818-360-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Lake Ave Ste B1",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911013540",
            "country_code": "US",
            "telephone_number": "626-669-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 Grand Ave Ste K",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917095401",
            "country_code": "US",
            "telephone_number": "909-548-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20933 Devonshire St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913112393",
            "country_code": "US",
            "telephone_number": "818-739-0182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "111901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; 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.