Active NPI
Ha N Lee, DDS
- Dentist
- Lake Forest, CA
National Provider Identifier
1912153099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57458
- Practice address
- 24864 Muirlands Blvd
Lake Forest, CA 92630-4812 - Phone
- (949) 586-5531
- NPI assigned
- Aug 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57458 | CA | Primary |
Addresses
Primary practice location
24864 Muirlands Blvd
Lake Forest, CA 92630-4812
Mailing address
24864 Muirlands Blvd
Lake Forest, CA 92630-4812
Phone (949) 586-5531
Other names 1
- Ha T Nguyen
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160119000323 | CA | Order and Referring Only - Dentist | 7517260987 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1912153099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24864 MUIRLANDS BLVD",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304812",
"telephone_number": "949-586-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24864 MUIRLANDS BLVD",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304812",
"telephone_number": "949-586-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HA",
"middle_name": "N",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HA",
"last_name": "NGUYEN",
"middle_name": "T",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.