Individual provider Active NPI

Michael Hechan Lee, D.D.S

  • General Practice Dentistry
  • Rowland Heights, CA
National Provider Identifier
1679546741
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28747 Issued in CA
Practice address
19745 Colima Rd
Suite Number#E-10
Rowland Heights, CA 91748-3219
Phone
(909) 594-9303
Fax
(909) 594-0137
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28747 CA Primary

Addresses

Primary practice location

19745 Colima Rd
Suite Number#E-10
Rowland Heights, CA 91748-3219

Mailing address

19745 Colima Rd
Suite Number#E-10
Rowland Heights, CA 91748-3219
Phone (909) 594-9303

Other identifiers 1

IdentifierTypeStateIssuer
B2874702OtherCASECOND OFFICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720002812 CA Order and Referring Only - DentistPractitioner - Dentist 4789997768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28747CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael H Lee D.D.S.Inc Past 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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1679546741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19745 COLIMA RD",
            "address_2": "SUITE NUMBER#E-10",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483219",
            "telephone_number": "909-594-9303",
            "fax_number": "909-594-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19745 COLIMA RD",
            "address_2": "SUITE NUMBER#E-10",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483219",
            "telephone_number": "909-594-9303",
            "fax_number": "909-594-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "HECHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECOND OFFICE",
            "identifier": "B2874702",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.