KANG HOON LEE DDS
NPI 1477611630
Dentist in Oceanside, CA

Active since December 04, 2006PECOS Enrolled
4700 N RIVER RD, OCEANSIDE, CA 92057(760) 631-5000(760) 414-3885 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kang Hoon Lee Dds NPPES

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

KANG HOON LEE DDS (NPI 1477611630) is an individual dentist in Oceanside, California, licensed in California (26460) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oceanside.

NPPES Registry Identity

NPI1477611630
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKANG HOON LEECredential: DDS
Location Address4700 N RIVER RDOceanside, CA 92057-6043
Mailing Address1000 Vale Terrace Dr # CVista, CA 92084-5218 · (760) 631-5000 · Fax (760) 414-3885
Fax(760) 414-3885
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 16, 2021
NPPES CertifiedJuly 16, 2021
NPI 1477611630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 26460
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.
4700 N RIVER RD, Oceanside, CA 92057

Other Names 1

Other Name (5)Daniel Kanghoon Lee D.d.s.

Secondary Practice Location 1

Location 14700 N River RdOceanside, CA 92057-6043 · Phone (760) 631-5000 · Fax (760) 414-3885

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kang Hoon 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 92057 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Family Medicine
4700 N RIVER RD
OCEANSIDE, CA 92057
Nurse Practitioner (Family)
4700 N RIVER RD
OCEANSIDE, CA 92057
Nurse Practitioner (Family)
4700 N RIVER RD
OCEANSIDE, CA 92057
Pediatrics
4700 N RIVER RD
OCEANSIDE, CA 92057
Dental Hygienist
4700 N RIVER RD
OCEANSIDE, CA 92057
Dentist
4700 N RIVER RD
OCEANSIDE, CA 92057
Nurse Practitioner
4700 N RIVER RD
OCEANSIDE, CA 92057
Nurse Practitioner
4700 N RIVER RD
OCEANSIDE, CA 92057

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 Kang Lee's NPI number?

The NPI number for Kang Lee is 1477611630. It was assigned to this individual provider in the NPPES registry on December 4, 2006. The provider is also known as Daniel Kanghoon Lee D.D.S..

Where is Kang Lee located?

Kang Lee practices at 4700 N River Rd, Oceanside, CA 92057. The listed phone number is (760) 631-5000.

What is Kang Lee's specialty?

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

Is Kang Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kang Lee was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.