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DR. JOHN LEE D.D.S
NPI 1609900786
Dentist - General Practice in Livermore, CA

Active since March 14, 2007PECOS Enrolled
60 FENTON ST, SU. 3, LIVERMORE, CA 94550(925) 449-1232(925) 449-3936 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. John Lee D.d.s NPPES

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

DR. JOHN LEE D.D.S (NPI 1609900786) is an individual general practice provider in Livermore, California, licensed in California (34634) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1986).

NPPES Registry Identity

NPI1609900786
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN LEECredential: D.D.S
Location Address60 FENTON ST, SU. 3Livermore, CA 94550-4148
Mailing Address60 Fenton St, Su. 3Livermore, CA 94550-4148 · (925) 449-1232 · Fax (925) 449-3936
Phone(925) 449-1232
Fax(925) 449-3936
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 1986
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609900786 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 · 34634
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.
60 FENTON ST, Livermore, CA 94550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Lee D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092035683
PECOS Enrollment IDI20260702001395
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.

Medicare Billing Reassignment

Medicare enrollment records show John Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Utah Community Health Center
456 mi
Federally Qualified Health Center (FQHC)
2276 E RIVERSIDE DR
St George, UT 84790
  • Reassigned Medicare billing, Utah enrollment
  • 27 clinicians in this Medicare group
NPI 1659358687 (435) 879-5101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94550 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 4

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

RACHEL RABAYE CMT
Massage Therapist
60 FENTON ST
LIVERMORE, CA 94550
Alameda County (925) 481-1574
DR. JACK OLEN MILLS D.D.S.
Dentist (Oral and Maxillofacial Pathology)
60 FENTON ST, SUITE 7
LIVERMORE, CA 94550
Alameda County (925) 443-4211
M.Y. ACUPUNCTURE
Acupuncturist
60 FENTON ST, #6
LIVERMORE, CA 94550
Alameda County (925) 337-0246
DR. MARY FRANCES KULLA M.D.
Psychiatry & Neurology (Psychiatry)
60 FENTON ST, SUITE 5
LIVERMORE, CA 94550
Alameda County (925) 321-0995

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 John Lee's NPI number?

The NPI number for John Lee is 1609900786. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is John Lee located?

John Lee practices at 60 Fenton St Su. 3, Livermore, CA 94550. The listed phone number is (925) 449-1232.

What is John Lee's specialty?

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

Is John Lee enrolled in Medicare?

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

Which organization bills Medicare for John Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Lee reassigns Medicare benefits to Southwest Utah Community Health Center (St George, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Lee accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Delta Dental PPO and 7 other insurers list John 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 John Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.