Active NPI
Sunny Jisun Lee, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mountain View, CA
National Provider Identifier
1720714454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 109995
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 109995 | CA | MD | Clinical 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.