Individual provider Active NPI

Judyth Grace Lee, DMD

  • Pediatric Dentistry
  • Walnut Creek, CA
National Provider Identifier
1699189431
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DDS103376 Issued in CA
Practice address
520 Lennon LN Ste a
Walnut Creek, CA 94598-2415
Phone
(925) 930-9390
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 22DI02638100 NJ
Pediatric Dentistry 1223P0221X 058674 NY
Pediatric Dentistry 1223P0221X DDS103376 CA Primary

Addresses

Primary practice location

520 Lennon LN Ste a
Walnut Creek, CA 94598-2415

Mailing address

451 Kansas St Unit 558
San Francisco, CA 94107-2218
Phone (706) 988-2187

Other practice location 1

430 N El Camino Real
San Mateo, CA 94401
Phone (650) 727-3480

Other practice location 2

1098 Foster City Blvd Ste 205
Foster City, CA 94404-2345
Phone (650) 581-3887

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
DDS103376CAMDPediatric Dentist
22DI02638100NJMDPediatric Dentist
058674NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Yun & Lee Dental Group CurrentSince Jun 23, 2025 Accepting new patients

Locations

1098 Foster City Blvd
Ste 205
Foster City, CA 94404
Phone (650) 581-3887

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1699189431",
    "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": "706-988-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LENNON LN STE A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-930-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 N El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "94401",
            "country_code": "US",
            "telephone_number": "650-727-3480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1098 Foster City Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Foster City",
            "state": "CA",
            "postal_code": "944042345",
            "country_code": "US",
            "telephone_number": "650-581-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUDYTH",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02638100",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "058674",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS103376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.