Raymond Lee, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

52749 Issued in CA

Practice address

16990 Main St Ste 1
Hesperia, CA 92345-6087

Phone

(760) 244-7232

NPI assigned

Aug 28, 2007

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

Practice roles

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.

• Caballero Dental Corporation

  • Pediatric Dentistry
  • Hesperia, CA
  • NPI 1992624407
  NPD (past)
• Hesperia Dental Center Inc.

  • General Practice Dentistry
  • Hesperia, CA
  • NPI 1417407677
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1801080304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 SANTO ANTONIO DR",
            "address_2": "APT. #63",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923247107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16990 MAIN ST STE 1",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456087",
            "telephone_number": "760-244-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My T Le
• Brianna Leal
• Magdi Adnan Lebadah, PHARM D
• Coretta T Leduff, LVN
• John Lee, DMD
• San H Lee
• Soojin Lee, DDS
• Andrea Leedberg
• Stephanie Lemke
• Sabrina Frances Lemons

• Dentist in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.