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DR. KELLY KYUNG A. LEE D.D.S.
NPI 1619008034
Dentist - General Practice in Long Beach, CA

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
2211 E. 7TH ST., LONG BEACH, CA 90804(562) 439-6562(562) 434-7892 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kelly Kyung A. Lee D.d.s. NPPES

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

DR. KELLY KYUNG A. LEE D.D.S. (NPI 1619008034) is an individual general practice provider in Long Beach, California, licensed in California (53919) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1619008034
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY KYUNG A. LEECredential: D.D.S.
Location Address2211 E. 7TH ST.Long Beach, CA 90804
Mailing Address1066 Agate CtGardena, CA 90247-2485 · (562) 439-6562 · Fax (562) 434-7892
Phone(562) 439-6562
Fax(562) 434-7892
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619008034 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 · 53919
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.
2211 E. 7TH ST., Long Beach, CA 90804
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Kyung A. Lee D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183110356
PECOS Enrollment IDI20251226001971
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 Kelly Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles
1.9 mi
Clinic/Center
1333 CHESTNUT AVE
Long Beach, CA 90813
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1568483766 (562) 599-8709

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 90804 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.

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 Kelly Lee's NPI number?

The NPI number for Kelly Lee is 1619008034. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Kelly Lee located?

Kelly Lee practices at 2211 E. 7th St., Long Beach, CA 90804. The listed phone number is (562) 439-6562.

What is Kelly Lee's specialty?

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

Is Kelly Lee enrolled in Medicare?

Yes. Kelly Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Lee reassigns Medicare benefits to County Of Los Angeles (Long Beach, CA). 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 Kelly Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly 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.