Brian Lee, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

65177 Issued in CA

Practice address

20480 Pacifica Dr Ste a
Cupertino, CA 95014-3015

Phone

(626) 716-2032

NPI assigned

Apr 21, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 22, 2021 through Apr 22, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1831586445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20480 PACIFICA DR STE A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143015",
            "telephone_number": "626-716-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20480 PACIFICA DR STE A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143015",
            "telephone_number": "626-716-2032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10430 S De Anza Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950143024",
            "country_code": "US",
            "telephone_number": "408-873-8484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14830 Los Gatos Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322053",
            "country_code": "US",
            "telephone_number": "408-412-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 E Huntington Dr",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910063210",
            "country_code": "US",
            "telephone_number": "626-716-2032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65177",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "65177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Annette Lechner, OTR/L, ATC
• Sarita Maria Ledet, MFT
• Angel Lee, D.C.
• Angela Lee, DDS
• Arnel Tan Lee, D.D.S.
• Brianna Lee
• Caroline Chin-I Lee, PHD
• Dain Lee, MD
• Elaine C Lee, MPH, RD, CDE
• Grace T Lee, L.C.S.W.

• Oral and Maxillofacial Surgery (Dentist) in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.