Individual provider Active NPI

Michael Joo Lee, D.M.D.

  • Prosthodontics
  • San Francisco, CA
National Provider Identifier
1669851556
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
102470 Issued in CA
Practice address
735 Larkin St
San Francisco, CA 94109-7149
Phone
(415) 589-7353
NPI assigned
May 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 102470 CA Primary

Addresses

Primary practice location

735 Larkin St
San Francisco, CA 94109-7149

Mailing address

451 Kansas St Unit 558
San Francisco, CA 94107-2218
Phone (617) 331-6042

Other practice location 1

47000 Warm Springs Blvd Ste 2
Fremont, CA 94539-7467
Phone (510) 226-0988

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

State licenses

LicenseStateTypeSpecialty
102470CAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1669851556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 KANSAS ST UNIT 558",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072218",
            "telephone_number": "617-331-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 LARKIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941097149",
            "telephone_number": "415-589-7353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47000 Warm Springs Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945397467",
            "country_code": "US",
            "telephone_number": "510-226-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "JOO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-25",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "102470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.