Brian Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106990 Issued in CA

Practice address

430 N El Camino Real
San Mateo, CA 94401-3710

Phone

(650) 727-3480

NPI assigned

Feb 29, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: blee21485@smch.direct-ci.com

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.

• Sonrisas Dental Health, Inc

  • General Practice Dentistry
  • Half Moon Bay, CA
  • NPI 1447477591
  NPD (past)

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1871127704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SAN BRUNO AVE W RM 5",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013710",
            "telephone_number": "650-727-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 San Mateo Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Half Moon Bay",
            "state": "CA",
            "postal_code": "940197172",
            "country_code": "US",
            "telephone_number": "650-726-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 San Bruno Ave W Rm 5",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "940663435",
            "country_code": "US",
            "telephone_number": "650-583-3412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRIAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-29",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Lee Tam, PHARMD
• Allen T Lee, D.M.D.
• Andrea Lee, CMT, CST-T
• Anna Lee, M.S., CCC-SLP
• Brian Lee, DDS
• Brianna Lee
• Elizabeth P Lee, M.D.
• Emily Lee, PHARM.D
• Eugene Young Lee, MD
• Fredrick Lee

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.