DONG SUP LEE
NPI 1023705506
Dentist in Brea, CA

Q: What is Dong Sup Lee's NPI number?

The NPI number for Dong Sup Lee is 1023705506. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Dong Sup Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Dong Sup Lee was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2023PECOS Enrolled

446 W CENTRAL AVE, BREA, CA 92821(804) 928-4695 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dong Sup Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONG SUP LEE (NPI 1023705506) is an individual dentist in Brea, California, licensed in California (108937) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023705506

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDONG SUP LEE

Location Address446 W CENTRAL AVEBrea, CA 92821-3004

Mailing Address446 W Central AveBrea, CA 92821-3004

Phone(804) 928-4695

Sole ProprietorYes

Enumeration DateApril 24, 2023

Last NPPES UpdateJuly 11, 2023

NPPES CertifiedJuly 11, 2023

✔ NPI 1023705506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 108937

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

446 W CENTRAL AVE, Brea, CA 92821

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dong Sup Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dong Sup Lee's NPI number?

The NPI number for Dong Sup Lee is 1023705506. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Dong Sup Lee located?

Dong Sup Lee practices at 446 W Central Ave, Brea, CA 92821. The listed phone number is (804) 928-4695.

What is Dong Sup Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dong Sup Lee enrolled in Medicare?

Yes. Dong Sup Lee is registered in the Medicare PECOS enrollment system.

What insurance does Dong Sup Lee accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Dong Sup Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dong Sup Lee was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.