Active NPI
Duk-Sun Lee, D.D.S.
- General Practice Dentistry
- Indio, CA
National Provider Identifier
1750454609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49133
- Practice address
- 81106 US Highway 111 Ste C
Indio, CA 92201-6600 - Phone
- (760) 775-7779
- Fax
- (760) 775-7734
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49133 | CA | Primary |
Addresses
Primary practice location
81106 US Highway 111 Ste C
Indio, CA 92201-6600
Mailing address
81106 US Highway 111 Ste C
Indio, CA 92201-6600
Phone (760) 775-7779
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 |
|---|---|---|---|
| 49133 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duk-Sun Lee,D.D.S | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Indio, CA
- NPI 1841490562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1750454609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81106 US HIGHWAY 111 STE C",
"city": "INDIO",
"state": "CA",
"postal_code": "922016600",
"telephone_number": "760-775-7779",
"fax_number": "760-775-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81106 US HIGHWAY 111 STE C",
"city": "INDIO",
"state": "CA",
"postal_code": "922016600",
"telephone_number": "760-775-7779",
"fax_number": "760-775-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DUK-SUN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.