1. Home
  2. Directory
  3. Arizona
  4. Marana
  5. Dentist
  6. NPI Profile

KELLY LEE
NPI 1134615339
Dentist in Marana, AZ

Active since July 11, 2018PECOS Enrolled
12080 N DOVE MOUNTAIN BLVD STE 140, MARANA, AZ 85658(520) 367-2742 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2022, Aug 19, 2021, Apr 21, 2020 and 1 more (4 updates tracked since 2018).

About Kelly Lee NPPES

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

KELLY LEE (NPI 1134615339) is an individual dentist in Marana, Arizona, licensed in Arizona (D010082) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134615339
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKELLY LEE
Location Address12080 N DOVE MOUNTAIN BLVD STE 140Marana, AZ 85658-4553
Mailing Address12080 N Dove Mountain Blvd Ste 140Marana, AZ 85658-4553 · (520) 367-2742
Phone(520) 367-2742
Sole ProprietorNo
Enumeration DateJuly 11, 2018
Last NPPES UpdateAugust 24, 20224 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1134615339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D010082
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.
12080 N DOVE MOUNTAIN BLVD STE 140, Marana, AZ 85658
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, BEST Life, Blue Cross and Blue Shield of Montana 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)

Kelly 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 85658 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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

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

CHANG DENTAL GROUP
Dentist
12080 N DOVE MOUNTAIN BLVD STE 140
MARANA, AZ 85658
Pima County (520) 367-2742

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 Kelly Lee's NPI number?

The NPI number for Kelly Lee is 1134615339. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Kelly Lee located?

Kelly Lee practices at 12080 N Dove Mountain Blvd Ste 140, Marana, AZ 85658. The listed phone number is (520) 367-2742.

What is Kelly Lee's specialty?

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

Is Kelly Lee enrolled in Medicare?

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

What insurance does Kelly Lee accept?

Health plans from Ambetter from Arizona Complete Health, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Kelly 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 Kelly Lee was last updated on August 24, 2022. 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.