Stephen Ming Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36962 Issued in CA

Practice address

345 9TH St
Suite 304
Oakland, CA 94607-6522

Phone

(510) 272-0967

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Stephen M. Lee, DDS

  • Dental Clinic/Center
  • Oakland, CA
  • NPI 1528673415
  NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1689799736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 9TH ST",
            "address_2": "SUITE 304",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076522",
            "telephone_number": "510-272-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 9TH ST",
            "address_2": "SUITE 304",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076522",
            "telephone_number": "510-272-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHEN",
        "middle_name": "MING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shin Lee, OD
• Sonnie Sanghyun Lee, MD
• Soon T Lee, M.D.
• Stephan I. Lee, MD
• Stephanie Lee
• Suhan Lee, DO, MPH
• Sun Hyung Lee, LCSW
• Susan Sunha Lee, DDS, MD
• Tawana Lee
• Tawanna Lee

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.