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DR. LESA RAE WOODSON DDS
NPI 1063549228
Dentist in Elk Grove, CA

Active since February 27, 2007PECOS Enrolled
2400 MARITIME DR, ELK GROVE, CA 95758(916) 686-8914 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lesa Rae Woodson Dds NPPES

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

DR. LESA RAE WOODSON DDS (NPI 1063549228) is an individual dentist in Elk Grove, California, licensed in California (59194) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063549228
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LESA RAE WOODSONCredential: DDS
Location Address2400 MARITIME DRElk Grove, CA 95758-3660
Mailing Address10259 Pedra Do Sol CtElk Grove, CA 95757-3475 · (916) 936-5154
Phone(916) 686-8914
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
✔ NPI 1063549228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 59194
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.
2400 MARITIME DR, Elk Grove, CA 95758
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Other Names 1

Former Name (1)Dr. Lesa Rae Williams Dds

Other Identifiers 1

Medicaid1856088LA

Accepted Insurance

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

Dr. Lesa Rae Woodson Dds 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 95758 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DIYA TALWAR HILL DDS
Dentist (General Practice)
2400 MARITIME DR
ELK GROVE, CA 95758
Sacramento County (904) 553-7763
DR. RASHIDAH TYNETTA WILEY D.D.S.
Dentist (Oral and Maxillofacial Pathology)
2400 MARITIME DR
ELK GROVE, CA 95758
Sacramento County (916) 686-8914

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 Lesa Woodson's NPI number?

The NPI number for Lesa Woodson is 1063549228. It was assigned to this individual provider in the NPPES registry on February 27, 2007. The provider is also known as Dr. Lesa Rae Williams Dds.

Where is Lesa Woodson located?

Lesa Woodson practices at 2400 Maritime Dr, Elk Grove, CA 95758. The listed phone number is (916) 686-8914.

What is Lesa Woodson's specialty?

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

Is Lesa Woodson enrolled in Medicare?

Yes. Lesa Woodson is registered in the Medicare PECOS enrollment system.

What insurance does Lesa Woodson accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Lesa Woodson 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 Lesa Woodson was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.