Active NPI
Michael Joo Lee, D.M.D.
- Prosthodontics
- San Francisco, CA
National Provider Identifier
1669851556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 102470
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 102470 | CA | MD | Prosthodontist |
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.