Individual provider Active NPI

Jarrad Lee, DMD

  • General Practice Dentistry
  • Compton, CA
National Provider Identifier
1861182214
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS111680 Issued in CA
Practice address
121 S Long Beach Blvd
Compton, CA 90221-3423
Phone
(310) 627-5850
Fax
(310) 627-5855
NPI assigned
May 9, 2023
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS111680 CA Primary

Addresses

Primary practice location

121 S Long Beach Blvd
Compton, CA 90221-3423

Mailing address

100 Long Beach Blvd Apt 1013
Long Beach, CA 90802-5019
Phone (310) 621-3424

Other practice location 1

1647 W Garvey Ave N
West Covina, CA 91790-2141
Phone (626) 514-0002

Other practice location 2

250 W Lincoln Ave
Anaheim, CA 92805-2903
Phone (714) 535-3254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86792CAMDMarriage & Family Therapist
33483CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1861182214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LONG BEACH BLVD APT 1013",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025019",
            "telephone_number": "310-621-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S LONG BEACH BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213423",
            "telephone_number": "310-627-5850",
            "fax_number": "310-627-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1647 W Garvey Ave N",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902141",
            "country_code": "US",
            "telephone_number": "626-514-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928052903",
            "country_code": "US",
            "telephone_number": "714-535-3254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JARRAD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS111680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.