DR. JINA LEE DDS
NPI 1689862146
Dentist in Fairfield, CA

Active since October 10, 2007PECOS Enrolled
2101 COURAGE DR, FAIRFIELD, CA 94533(707) 784-2120 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 27, 2021, Nov 19, 2021 (2 updates tracked since 2021).

About Dr. Jina Lee Dds NPPES

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

DR. JINA LEE DDS (NPI 1689862146) is an individual dentist in Fairfield, California, licensed in California (56028) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vallejo.

NPPES Registry Identity

NPI1689862146
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JINA LEECredential: DDS
Location Address2101 COURAGE DRFairfield, CA 94533-6717
Mailing Address2101 Courage DrFairfield, CA 94533-6717 · (707) 784-2120
Sole ProprietorNo
Enumeration DateOctober 10, 2007
Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
NPI 1689862146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 56028
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.

2101 COURAGE DR, Fairfield, CA 94533

Secondary Practice Location 1

Location 1365 Tuolumne StVallejo, CA 94590-5700 · Phone (707) 784-2120

Accepted 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. Jina 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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94533 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $98.85
  • Minimum New Patient Price $65.02
  • Maximum New Patient Price $191.95
  • Average New Patient Copayment $24.71
  • Minimum New Patient Copayment $16.25
  • Maximum New Patient Copayment $47.98

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $80.24
  • Minimum Established Patient Price $21.86
  • Maximum Established Patient Price $157.69
  • Average Established Patient Copayment $20.06
  • Minimum Established Patient Copayment $5.46
  • Maximum Established Patient Copayment $39.42

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
2101 COURAGE DR
FAIRFIELD, CA 94533
Dietitian, Registered
2101 COURAGE DR, MS 10-100, SCH AND SS
FAIRFIELD, CA 94533
Psychiatry & Neurology (Psychiatry)
2101 COURAGE DR
FAIRFIELD, CA 94533
Psychiatry & Neurology (Psychiatry)
2101 COURAGE DR, BOX 4090, MAIL STATION 10-300
FAIRFIELD, CA 94533
Nurse Practitioner (Family)
2101 COURAGE DR
FAIRFIELD, CA 94533
Dentist (Dental Public Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Psychiatric Hospital
2101 COURAGE DR
FAIRFIELD, CA 94533
Social Worker (Clinical)
2101 COURAGE DR, MS 10-100
FAIRFIELD, CA 94533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689862146, enumerated as an "individual" on October 10, 2007.

The provider is located at 2101 COURAGE DR FAIRFIELD, CA 94533 and the phone number is (707) 784-2120.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.