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DR. JAI GOO LEE DDS
NPI 1164497319
Dentist in Lakeport, CA

Active since February 21, 2006PECOS Enrolled
925 BEVINS COURT, LAKEPORT, CA 95453(707) 263-8383(707) 263-5019 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Jai Goo Lee Dds NPPES

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

DR. JAI GOO LEE DDS (NPI 1164497319) is an individual dentist in Lakeport, California, licensed in California (103634) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164497319
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JAI GOO LEECredential: DDS
Location Address925 BEVINS COURTLakeport, CA 95453-9754
Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 263-8383 · Fax (707) 263-5019
Phone(707) 263-8383
Fax(707) 263-5019
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1164497319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 103634
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 ListedDentist · General PracticeTaxonomy 1223G0001X · License D8660 (OR)
925 BEVINS COURT, Lakeport, CA 95453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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. Jai Goo Lee 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 95453 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 5

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

MS. TERRI L TURNER DO
Internal Medicine
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383
LAWERENCE G CANNON DDS
Dentist (General Practice)
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8382
DR. ELIEZER MELENDEZ MD
Pediatrics
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383
MICHAEL KEITH MIETZ PA
Physician Assistant (Medical)
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383
LORENA A WATSON FNP
Nurse Practitioner (Family)
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383

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 Jai Lee's NPI number?

The NPI number for Jai Lee is 1164497319. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Jai Lee located?

Jai Lee practices at 925 Bevins Court, Lakeport, CA 95453. The listed phone number is (707) 263-8383.

What is Jai Lee's specialty?

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

Is Jai Lee enrolled in Medicare?

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

What insurance does Jai Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jai 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 Jai Lee was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.