Active NPI
Julia H.P Lee, DDS
- General Practice Dentistry
- Pasadena, CA
National Provider Identifier
1942224118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42352
- Practice address
- 742 E Colorado Blvd
Pasadena, CA 91101-2105 - Phone
- (626) 405-0707
- Fax
- (626) 795-2731
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42352 | CA | Primary |
Addresses
Primary practice location
742 E Colorado Blvd
Pasadena, CA 91101-2105
Mailing address
742 E Colorado Blvd
Pasadena, CA 91101-2105
Phone (626) 405-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D42352 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42352 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillip S.H. Park DDS.,Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Smart Dental Care
- General Practice Dentistry
- Pasadena, CA
- NPI 1750304192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1942224118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012105",
"telephone_number": "626-405-0707",
"fax_number": "626-795-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012105",
"telephone_number": "626-405-0707",
"fax_number": "626-795-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JULIA",
"middle_name": "H.P",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D42352",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.