Shawn Lee, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

57783 Issued in CA

Practice address

13450 Hawthorne Blvd
Hawthorne, CA 90250-5806

Phone

(310) 679-0106

Fax

(310) 679-6698

NPI assigned

Feb 19, 2009

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1902045677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28901 S WESTERN AVE STE 135",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750824",
            "telephone_number": "310-750-2470",
            "fax_number": "310-817-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505806",
            "telephone_number": "310-679-0106",
            "fax_number": "310-679-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHAWN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyun Suk Lee, PHARM D
• Jasmine Lee, LMT
• Jenny Lee
• Jocelyn Lee, OTD, OTR/L
• Paul J Lee, D.D.S.
• John M. Legaspi, D.M.D.
• Natalie G Legaspi, DMD
• Cindy Adel Lelea, PCD (DONA)
• Lemire Dental Corporation
• Alexis Lemmon, RDH

• Dentist in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.