Organization Active NPI

Duk-Sun Lee,D.D.S

  • General Practice Dentistry
  • Indio, CA
National Provider Identifier
1841490562
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49133 Issued in CA
Legal business name
DUK-SUN LEE,D.D.S
Practice address
81106 US Highway 111
#C
Indio, CA 92201-9137
Phone
(760) 775-7779
Fax
(760) 775-7734
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Dr. Duk Sun Lee, D.D.S
Title
Owner
Phone
(760) 775-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49133 CA Primary

Addresses

Primary practice location

81106 US Highway 111
#C
Indio, CA 92201-9137

Mailing address

81106 US Highway 111 Ste C
Indio, CA 92201-6600
Phone (760) 775-7779

National Provider Directory

National Provider Directory

Locations

81106 US Highway 111
Ste C
Indio, CA 92201
Phone (760) 775-7779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1841490562",
    "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",
            "address_2": "#C",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922019137",
            "telephone_number": "760-775-7779",
            "fax_number": "760-775-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUK-SUN LEE,D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DUK",
        "authorized_official_middle_name": "SUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-775-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Jun 10, 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.

Verify at the official NPI Registry.