KATELYN EUNJI LEE DDS
NPI 1699520338
Dentist in Brooklyn, NY

Q: What is Katelyn Lee's NPI number?

The NPI number for Katelyn Lee is 1699520338. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Q: What is Katelyn Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katelyn Lee was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since April 17, 2024PECOS Enrolled

1456 FULTON ST, BROOKLYN, NY 11216(718) 636-4500(347) 296-8332 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2025, Apr 17, 2024 (2 updates tracked since 2024).

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About Katelyn Eunji Lee Dds NPPES

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

KATELYN EUNJI LEE DDS (NPI 1699520338) is an individual dentist in Brooklyn, New York, licensed in New York (064651) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699520338

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKATELYN EUNJI LEECredential: DDS

Location Address1456 FULTON STBrooklyn, NY 11216-2505

Mailing Address1456 Fulton StBrooklyn, NY 11216-2505 · (718) 636-4500 · Fax (347) 296-8332

Phone(718) 636-4500

Fax(347) 296-8332

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 17, 2024

Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration

NPPES CertifiedOctober 30, 2025

✔ NPI 1699520338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 064651

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1456 FULTON ST, Brooklyn, NY 11216

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Secondary Practice Location 1

Location 16410 Fannin St Ste 310Houston, TX 77030-3004 · Phone (713) 500-5819

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Katelyn Eunji Lee Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113417031

PECOS Enrollment IDI20251107002918

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 Katelyn Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bedford Stuyvesant Family Health Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

1456 FULTON ST
Brooklyn, NY 11216

Reassigned Medicare billing, New York enrollment
52 clinicians in this Medicare group

NPI 1033178561 (718) 636-4500

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 11216 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 20

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

BEDFORD STUYVESANT FAMILY HEALTH CENTER, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))