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DR. SOOJIN LEE DDS
NPI 1417132648
Dentist - General Practice in Hesperia, CA

Active since January 07, 2008PECOS Enrolled
16455 MAIN ST, STE 17, HESPERIA, CA 92345(760) 244-6077(760) 244-8345 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Soojin Lee Dds NPPES

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

DR. SOOJIN LEE DDS (NPI 1417132648) is an individual general practice provider in Hesperia, California, licensed in California (56284) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417132648
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SOOJIN LEECredential: DDS
Location Address16455 MAIN ST, STE 17Hesperia, CA 92345-3554
Mailing Address16455 Main St, Ste 17Hesperia, CA 92345-3554 · (760) 244-6077 · Fax (760) 244-8345
Phone(760) 244-6077
Fax(760) 244-8345
Sole ProprietorNo
Enumeration DateJanuary 7, 2008
✔ NPI 1417132648 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 · 56284
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.
16455 MAIN ST, Hesperia, CA 92345
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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, BEST Life, Blue Cross and Blue Shield of Alabama 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. Soojin 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 92345 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 8

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

COX DENTAL CORPORATION
Dentist (General Practice)
16455 MAIN ST, SUITE 17
HESPERIA, CA 92345
San Bernardino County (760) 244-6077
IRINA M JOVEL FNP
Nurse Practitioner (Family)
16455 MAIN ST
HESPERIA, CA 92345
San Bernardino County (760) 947-2161
HESPERIA LA SALLE PHARMACY
Pharmacy
16455 MAIN ST, #8
HESPERIA, CA 92345
San Bernardino County (760) 956-2270
DUSTIN WONG DO
Internal Medicine
16455 MAIN ST, SUITE 1
HESPERIA, CA 92345
San Bernardino County (760) 947-2161
CHANGPO CHANG
Pharmacist
16455 MAIN ST
HESPERIA, CA 92345
San Bernardino County (760) 998-2991
MRS. CHERYL ANN EMOTO M.D.
Pediatrics
16455 MAIN ST
HESPERIA, CA 92345
San Bernardino County (760) 947-2161
BRENDA LOUISE KUECKELS D.D.S.
Dentist (General Practice)
16455 MAIN ST, #17
HESPERIA, CA 92345
San Bernardino County (760) 244-6077
DR. ANA RALUCA PLATON DDS
Dentist
16455 MAIN ST, STE. 17
HESPERIA, CA 92345
San Bernardino County (760) 244-6077

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 Soojin Lee's NPI number?

The NPI number for Soojin Lee is 1417132648. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Where is Soojin Lee located?

Soojin Lee practices at 16455 Main St Ste 17, Hesperia, CA 92345. The listed phone number is (760) 244-6077.

What is Soojin Lee's specialty?

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

Is Soojin Lee enrolled in Medicare?

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

What insurance does Soojin Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Soojin 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 Soojin Lee was last updated on January 7, 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.