Organization Active NPI

Sae Chan Lee DDS, Inc.

  • Dental Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1669149829
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SAE CHAN LEE DDS, INC.
Practice address
3760 W McFadden Ave Ste D
Santa Ana, CA 92704-1392
Phone
(657) 231-6106
NPI assigned
Aug 25, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Sae Chan Lee, DDSNPI 1700245248
Title
Ceo
Phone
(310) 612-2710

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3760 W McFadden Ave Ste D
Santa Ana, CA 92704-1392

Mailing address

1308 Sheller Dr
Fullerton, CA 92833-5628
Phone (310) 612-2710

National Provider Directory

National Provider Directory

Locations

3760 W McFadden Ave
Ste D
Santa Ana, CA 92704
Phone (657) 231-6106

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": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1669149829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 SHELLER DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335628",
            "telephone_number": "310-612-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 W MCFADDEN AVE STE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041392",
            "telephone_number": "657-231-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAE CHAN LEE DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SAE CHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-612-2710",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.