Individual provider Active NPI

Sunny Jisun Lee, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mountain View, CA
National Provider Identifier
1720714454
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
109995 Issued in CA
Practice address
1704 Miramonte Ave Ste 9
Mountain View, CA 94040-3718
Phone
(650) 282-5758
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 109995 CA Primary

Addresses

Primary practice location

1704 Miramonte Ave Ste 9
Mountain View, CA 94040-3718

Mailing address

150 Market St.
428
Milpitas, CA 95035
Phone (310) 944-1635

Other practice location 1

970 W El Camino Real Ste 1
Sunnyvale, CA 94087-1180
Phone (650) 282-5555

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
109995CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1720714454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MARKET ST.",
            "address_2": "428",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "95035",
            "telephone_number": "310-944-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MIRAMONTE AVE STE 9",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403718",
            "telephone_number": "650-282-5758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 W El Camino Real Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940871180",
            "country_code": "US",
            "telephone_number": "650-282-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUNNY",
        "middle_name": "JISUN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "109995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.