DR. SAM HWAN LEE DMD
NPI 1376139634
Dentist - Orthodontics and Dentofacial Orthopedics in Chino Hills, CA

Active since December 21, 2020PECOS Enrolled
5817 PINE AVE STE A, CHINO HILLS, CA 91709(909) 606-4500 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sam Hwan Lee Dmd NPPES

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

DR. SAM HWAN LEE DMD (NPI 1376139634) is an individual orthodontics and dentofacial orthopedics provider in Chino Hills, California, licensed in California (105867) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376139634
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. SAM HWAN LEECredential: DMD
Location Address5817 PINE AVE STE AChino Hills, CA 91709-6533
Mailing Address5817 Pine Ave Ste AChino Hills, CA 91709-6533
Sole ProprietorNo
Enumeration DateDecember 21, 2020
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
NPI 1376139634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 105867
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
5817 PINE AVE STE A, Chino Hills, CA 91709

Other Names 1

Former Name (1)Seung-hwan Lee

Accepted 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. Sam Hwan Lee Dmd 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 91709 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.

Other Providers at the Same Location NPPES 2

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

Dentist (Pediatric Dentistry)
5817 PINE AVE STE A
CHINO HILLS, CA 91709
Acupuncturist
5817 PINE AVE STE A
CHINO HILLS, CA 91709

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 Sam Lee's NPI number?

The NPI number for Sam Lee is 1376139634. It was assigned to this individual provider in the NPPES registry on December 21, 2020. The provider is also known as Seung-Hwan Lee.

Where is Sam Lee located?

Sam Lee practices at 5817 Pine Ave Ste A, Chino Hills, CA 91709. The listed phone number is (909) 606-4500.

What is Sam Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Sam Lee enrolled in Medicare?

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

What insurance does Sam Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 6 other insurers list Sam 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 Sam Lee was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.