Brian Y Lee, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

101417 Issued in CA

Practice address

21605 Hawthorne Blvd, Pavillion C, Ste 120
Torrance, CA 90503

Phone

(310) 540-4114

Fax

(310) 316-9487

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Brian Lee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Kikuko Hirayama DMD, LLC

  • Pediatric Dentistry
  • Boston, MA
  • NPI 1952719163
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1841349495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21605 HAWTHORNE BLVD, PAVILLION C, STE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-540-4114",
            "fax_number": "310-316-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21605 HAWTHORNE BLVD, PAVILLION C, STE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-540-4114",
            "fax_number": "310-316-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRIAN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "21722",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "101417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "LEE",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alicia De Castro Lee, M.D.
• Angela Lee, L.AC.
• Angela Y Lee, LCSW
• Bongsoo Edwin Lee, D.C.
• Brian Andrew Lee, PT, DPT, ECS, OCS
• Briana Lee
• Carol Kyongae Lee, M.D.
• Chan Young Lee, ACUPUNCTURIST
• Charles C Lee, MD
• Ching-Muh Lee, M.D.

• Prosthodontics in Torrance, CA
• Providers in Torrance, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.