Organization Active NPI

Joseph Lee Dental

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1982093316
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52748 Issued in CA
Legal business name
JOSEPH LEE DENTAL
Practice address
9491 Foothill Blvd Ste E
Rancho Cucamonga, CA 91730-3570
Phone
(909) 962-7722
Fax
(909) 962-7723
NPI assigned
Jan 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Joseph Lee, DDSNPI 1396803623
Title
President
Phone
(714) 381-1364

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52748 CA Primary

Addresses

Primary practice location

9491 Foothill Blvd Ste E
Rancho Cucamonga, CA 91730-3570

Mailing address

9491 Foothill Blvd Ste E
Rancho Cucamonga, CA 91730-3570
Phone (909) 962-7722

National Provider Directory

National Provider Directory

Locations

9491 Foothill Blvd
Ste E
Rancho Cucamonga, CA 91730
Phone (909) 948-7211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1982093316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9491 FOOTHILL BLVD STE E",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303570",
            "telephone_number": "909-962-7722",
            "fax_number": "909-962-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9491 FOOTHILL BLVD STE E",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303570",
            "telephone_number": "909-962-7722",
            "fax_number": "909-962-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH LEE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-381-1364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.