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DR. SUSAN MOON LEE DDS
NPI 1477074813
Dentist in Buena Park, CA

Active since July 06, 2017PECOS Enrolled
7540 ORANGETHORPE AVE STE A1, BUENA PARK, CA 90621(714) 576-2540 Get Directions Write a Review

NPPES record last updated: November 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2019, Jul 7, 2017 (2 updates tracked since 2017).

About Dr. Susan Moon Lee Dds NPPES

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

DR. SUSAN MOON LEE DDS (NPI 1477074813) is an individual dentist in Buena Park, California, licensed in California (101511) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477074813
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SUSAN MOON LEECredential: DDS
Location Address7540 ORANGETHORPE AVE STE A1Buena Park, CA 90621
Mailing Address1141 Fairview Ave Unit AArcadia, CA 91007-7047 · (626) 419-3713
Phone(714) 576-2540
Sole ProprietorNo
Enumeration DateJuly 6, 2017
Last NPPES UpdateNovember 2, 20192 updates tracked since enumeration
✔ NPI 1477074813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 101511
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 101511 (CA)
7540 ORANGETHORPE AVE STE A1, Buena Park, CA 90621
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14026 W Olympic BlvdLos Angeles, CA 90019-3257 · Phone (323) 732-2828
Location 217188 Colima Rd Ste BHacienda Heights, CA 91745-6787 · Phone (626) 581-7878

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 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)

Dr. Susan Moon 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 90621 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

SWATI SHETTY DENTAL CORPORATION
Dentist
7540 ORANGETHORPE AVE STE A1
BUENA PARK, CA 90621
Orange County (714) 576-2540
ELAINE KHUE THAI DDS
Dentist (General Practice)
7540 ORANGETHORPE AVE STE A1
BUENA PARK, CA 90621
Orange County (714) 576-2540
DR. GABRIELLA PUNG DDS
Dentist (General Practice)
7540 ORANGETHORPE AVE STE A1
BUENA PARK, CA 90621
Orange County (714) 576-2540
JERREN NIKKO FERGUSON DDS
Dentist
7540 ORANGETHORPE AVE STE A1
BUENA PARK, CA 90621
Orange County (714) 576-2540
DR. SIDDHI CHOVATEEYA DDS
Dentist (General Practice)
7540 ORANGETHORPE AVE STE A1
BUENA PARK, CA 90621
Orange County (714) 576-2540

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 Susan Lee's NPI number?

The NPI number for Susan Lee is 1477074813. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Susan Lee located?

Susan Lee practices at 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621. The listed phone number is (714) 576-2540.

What is Susan Lee's specialty?

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

Is Susan Lee enrolled in Medicare?

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

What insurance does Susan 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 4 other insurers list Susan 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 Susan Lee was last updated on November 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.