Individual provider Active NPI

Steve C. Lee, DMD

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1750638078
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61301 Issued in CA
Practice address
1075 N Western Ave Ste 102
Los Angeles, CA 90029-2346
Phone
(323) 466-4567
NPI assigned
Aug 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61301 CA Primary

Addresses

Primary practice location

1075 N Western Ave Ste 102
Los Angeles, CA 90029-2346

Mailing address

1075 N Western Ave Ste 102
Los Angeles, CA 90029-2346

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
61301CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steve Lee D.M.D, a Professional Corporation General Practice CurrentSince Mar 24, 2025 Accepting new patients
Jae Yon Chung Dental Inc Past Accepting new patients

Locations

13755 Roscoe Blvd
Ste 212
Panorama City, CA 91402
Phone (818) 435-9111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1750638078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 N WESTERN AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N WESTERN AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292346",
            "telephone_number": "323-466-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEVE",
        "middle_name": "C.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.