Kyra Lee, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

65165 Issued in CA

Practice address

120 S El Camino Real Ste 1
Millbrae, CA 94030-3133

Phone

(650) 689-5355

NPI assigned

Aug 11, 2016

Last updated

Mar 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Azama and Wong Dental Corporation

  dba KidSmiles Pediatric Dentistry

  • Pediatric Dentistry
  • San Francisco, CA
  • NPI 1093561706
  NPD (past)

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1841744505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WINSOR AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S EL CAMINO REAL STE 1",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940303133",
            "telephone_number": "650-689-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2537 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941321613",
            "country_code": "US",
            "telephone_number": "415-681-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KYRA",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "65165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lam
• Ka Lau, RD
• Kevin Le, PHARMD
• Ariel Diane Leasure, OTR
• Ashley Lee, PHARM.D
• Michael F Lee, PHARM.D.
• Jeffrey WC Leong, D.D.S., M.S.
• Thomas Leung, PHARMD
• Xavier Leung, PHARMD
• Geoffrey Lew, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Millbrae, CA
• Providers in Millbrae, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.