Sae Chan Lee

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60675379 Issued in WA

Practice address

26401 Pacific Hwy S
Des Moines, WA 98198-9247

Phone

(206) 870-3600

NPI assigned

Feb 12, 2016

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kim & Lee a Dental Corporation

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1588288591
  Medicare reassignment NPD
• Kim & Lee DDS Inc.

  • General Practice Dentistry
  • Buena Park, CA
  • NPI 1558038513
  Medicare reassignment NPD
• Sae Chan Lee DDS, Inc.

  • Dental Clinic/Center
  • Santa Ana, CA
  • NPI 1669149829
  NPD Authorized official

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1700245248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989247",
            "telephone_number": "206-870-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SAE CHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60675379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Joann Law
• Charles M Laycock, DC
• Abraham Si-Viet Le, D.D.S.
• Heather Learned, LMP
• Charles Tiu Lee, DDS
• Voyager Leia
• Sheila Lentz
• Laura J Lenzi, 60521601
• Nancy Ann Leveson
• Ann Lin, MD

• General Practice Dentistry in Des Moines, WA
• Providers in Des Moines, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.