DR. JARED W LEE D.D.S.
NPI 1235393190
Dentist - General Practice in Loma Linda, CA

Q: What is Jared Lee's NPI number?

The NPI number for Jared Lee is 1235393190. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Q: What is Jared Lee's specialty?

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

Q: Is Jared Lee enrolled in Medicare?

No. Jared Lee has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jared Lee was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 10, 2008Opted out of Medicare · through Jun 16, 2028

11228 HILLCREST ST, LOMA LINDA, CA 92354(909) 796-1793 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Jared W Lee D.d.s. NPPES

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

DR. JARED W LEE D.D.S. (NPI 1235393190) is an individual general practice provider in Loma Linda, California, licensed in California (57099) and active in the NPI registry since July 2008. He has opted out of Medicare through June 16, 2028.

NPPES Registry Identity

NPI1235393190

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JARED W LEECredential: D.D.S.

Location Address11228 HILLCREST STLoma Linda, CA 92354-2906

Mailing Address11228 Hillcrest StLoma Linda, CA 92354-2906 · (909) 796-1793

Phone(909) 796-1793

Sole ProprietorNo

Enumeration DateJuly 10, 2008

✔ NPI 1235393190 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 · 57099

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.

11228 HILLCREST ST, Loma Linda, CA 92354

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Alaska, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jared W Lee D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2026 through June 16, 2028.

Opt-Out Effective DateJune 16, 2026

Opt-Out In Effect ThroughJune 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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 Jared Lee's NPI number?

The NPI number for Jared Lee is 1235393190. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Jared Lee located?

Jared Lee practices at 11228 Hillcrest St, Loma Linda, CA 92354. The listed phone number is (909) 796-1793.

What is Jared Lee's specialty?

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

Is Jared Lee enrolled in Medicare?

No. Jared Lee has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jared Lee accept?

Health plans from Delta Dental of Alaska and Moda Health Plan, Inc. list Jared 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 Jared Lee was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.