Organization Active NPI

Nomi Lee Dental Group Inc

  • Dental Clinic/Center
  • Colton, CA
National Provider Identifier
1932672656
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NOMI LEE DENTAL GROUP INC
Practice address
1636 E Washington St
Colton, CA 92324-4605
Phone
(909) 825-3210
Fax
(909) 512-6897
NPI assigned
Jan 4, 2019
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
NOMI LEE DENTAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Nomi Lee, DDSNPI 1376679696
Title
Owner
Phone
(909) 825-3210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1636 E Washington St
Colton, CA 92324-4605

Mailing address

1636 E Washington St
Colton, CA 92324-4605
Phone (909) 825-3210

National Provider Directory

National Provider Directory
Part of
Nomi Lee Dental Group Inc

Locations

1636 E Washington St
Colton, CA 92324
Phone (909) 825-3210

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1932672656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244605",
            "telephone_number": "909-825-3210",
            "fax_number": "909-512-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244605",
            "telephone_number": "909-825-3210",
            "fax_number": "909-512-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMI LEE DENTAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOMI LEE DENTAL INC",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-825-3210",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.