DR. KWANG DEUK LEE D.D.S
NPI 1083005508
Dentist in Los Angeles, CA

Q: What is Kwang Deuk Lee's NPI number?

The NPI number for Kwang Deuk Lee is 1083005508. It was assigned to this individual provider in the NPPES registry on February 6, 2015. The provider is also known as Dr. Danny Lee D.D.S.

Q: What is Kwang Deuk 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 Kwang Deuk Lee was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 06, 2015PECOS Enrolled

5205 MELROSE AVE, LOS ANGELES, CA 90038(323) 653-1990 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kwang Deuk Lee D.d.s NPPES

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

DR. KWANG DEUK LEE D.D.S (NPI 1083005508) is an individual dentist in Los Angeles, California, licensed in California (64322) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083005508

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KWANG DEUK LEECredential: D.D.S

Location Address5205 MELROSE AVELos Angeles, CA 90038-3144

Mailing Address5205 Melrose AveLos Angeles, CA 90038-3144 · (323) 653-1990

Phone(323) 653-1990

Sole ProprietorNo

Enumeration DateFebruary 6, 2015

Last NPPES UpdateDecember 27, 2021

NPPES CertifiedDecember 27, 2021

✔ NPI 1083005508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 64322

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.

5205 MELROSE AVE, Los Angeles, CA 90038

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Other Names 1

Professional Name (2)Dr. Danny Lee D.d.s

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. Kwang Deuk Lee D.d.s 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 90038 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.

Other Providers at the Same Location NPPES 20

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

MONICA ANDREA AQUINO DDS

Dentist (General Practice)