Individual provider Active NPI

Arnel Tan Lee, D.D.S.

  • Dentist
  • Cupertino, CA
National Provider Identifier
1851307870
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51490 Issued in CA
Practice address
10251 Torre Ave Ste 228
Cupertino, CA 95014-2184
Phone
(408) 243-3748
Fax
(408) 255-0892
NPI assigned
Jul 31, 2006
Last updated
Jun 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51490 CA Primary

Addresses

Primary practice location

10251 Torre Ave Ste 228
Cupertino, CA 95014-2184

Mailing address

10251 Torre Ave Ste 228
Cupertino, CA 95014-2184
Phone (408) 243-3748

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151207002994 CA Order and Referring Only - DentistPractitioner - Dentist 6709186133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51490CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arnel T. Lee, DDS and Gary H. Lum, DDS, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1851307870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 TORRE AVE STE 228",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142184",
            "telephone_number": "408-243-3748",
            "fax_number": "408-255-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 TORRE AVE STE 228",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142184",
            "telephone_number": "408-243-3748",
            "fax_number": "408-255-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ARNEL",
        "middle_name": "TAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.