DR. JIN BOONE LEE
NPI 1063554061
Dentist - General Practice in Riverside, CA

Q: What is Jin Lee's NPI number?

The NPI number for Jin Lee is 1063554061. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Q: What is Jin Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jin Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 13, 2007PECOS Enrolled

4959 ARLINGTON AVE STE F, RIVERSIDE, CA 92504(951) 353-8454(951) 352-4006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jin Boone Lee NPPES

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

DR. JIN BOONE LEE (NPI 1063554061) is an individual general practice provider in Riverside, California, licensed in California (33321) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063554061

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JIN BOONE LEE

Location Address4959 ARLINGTON AVE STE FRiverside, CA 92504-2756

Mailing Address4959 Arlington Ave Ste FRiverside, CA 92504-2756 · (951) 353-8454 · Fax (951) 352-4006

Phone(951) 353-8454

Fax(951) 352-4006

Sole ProprietorYes

Enumeration DateFebruary 13, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063554061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 33321

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4959 ARLINGTON AVE STE F, Riverside, CA 92504

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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)

Dr. Jin Boone 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 92504 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 Jin Lee's NPI number?

The NPI number for Jin Lee is 1063554061. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Jin Lee located?

Jin Lee practices at 4959 Arlington Ave Ste F, Riverside, CA 92504. The listed phone number is (951) 353-8454.

What is Jin Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jin Lee enrolled in Medicare?

Yes. Jin Lee is registered in the Medicare PECOS enrollment system.

What insurance does Jin 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 and Humana list Jin 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 Jin Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.