YOONA LEE DDS
NPI 1720557556
Dentist - General Practice in Boulder, CO

Active since November 21, 2018PECOS Enrolled
1610 CANYON BLVD, BOULDER, CO 80302(303) 442-5000 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2026, Nov 21, 2018 (2 updates tracked since 2018).

About Yoona Lee Dds NPPES

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

YOONA LEE DDS (NPI 1720557556) is an individual general practice provider in Boulder, Colorado, licensed in Colorado (DEN.00203774) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720557556
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameYOONA LEECredential: DDS
Location Address1610 CANYON BLVDBoulder, CO 80302-5407
Mailing Address15026 Silver Feather CirBroomfield, CO 80023-4609 · (720) 456-2850
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 21, 2018
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1720557556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · DEN.00203774
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.
1610 CANYON BLVD, Boulder, CO 80302

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID143704064
PECOS Enrollment IDI20260319000162
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 Yoona Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dentist
8500 W 110TH ST STE 260
Overland Park, KS 66210
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group

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 80302 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 7

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

Dentist (Oral and Maxillofacial Surgery)
1610 CANYON BLVD
BOULDER, CO 80302
Dentist
1610 CANYON BLVD
BOULDER, CO 80302
Dentist (General Practice)
1610 CANYON BLVD
BOULDER, CO 80302
Dentist (General Practice)
1610 CANYON BLVD
BOULDER, CO 80302
Dentist
1610 CANYON BLVD
BOULDER, CO 80302
Dentist (General Practice)
1610 CANYON BLVD
BOULDER, CO 80302
Dentist
1610 CANYON BLVD
BOULDER, CO 80302

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 Yoona Lee's NPI number?

The NPI number for Yoona Lee is 1720557556. It was assigned to this individual provider in the NPPES registry on November 21, 2018.

Where is Yoona Lee located?

Yoona Lee practices at 1610 Canyon Blvd, Boulder, CO 80302. The listed phone number is (303) 442-5000.

What is Yoona Lee's specialty?

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

Is Yoona Lee enrolled in Medicare?

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

Which organization bills Medicare for Yoona Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yoona Lee reassigns Medicare benefits to Aria Dental Care PC (Overland Park, KS). 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 Yoona Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yoona Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Yoona 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 Yoona Lee was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.