NPIMap

Organization Active NPI

Badii Lee Dental Corporation, Inc.

  • Dentist
  • Garden Grove, CA
National Provider Identifier
1972993467
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56861 Issued in CA
Legal business name
BADII LEE DENTAL CORPORATION, INC.
Practice address
12828 Harbor Blvd.
Suite 340
Garden Grove, CA 92840-5833
Phone
(714) 530-9801
Fax
(714) 530-7824
NPI assigned
Feb 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Daniel Harvey Lee, DDS, MBA
Title
President
Phone
(949) 596-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 56861 CA Primary

Addresses

Primary practice location

12828 Harbor Blvd.
Suite 340
Garden Grove, CA 92840-5833

Mailing address

19762Macarthurblvd.
100
Irvine, CA 92612-8275
Phone (949) 596-8100

Other names 1

  • Smile Wide Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Badii Lee Dental Corporation Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1972993467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19762MACARTHURBLVD.",
            "address_2": "100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128275",
            "telephone_number": "949-596-8100",
            "fax_number": "562-424-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 HARBOR BLVD.",
            "address_2": "SUITE 340",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405833",
            "telephone_number": "714-530-9801",
            "fax_number": "714-530-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADII LEE DENTAL CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-596-8100",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Wide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.