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DR. BRIAN LEE DDS, MD
NPI 1831586445
Dentist - Oral and Maxillofacial Surgery in Cupertino, CA

Active since April 21, 2015Opted out of Medicare · through Apr 22, 2027
20480 PACIFICA DR STE A, CUPERTINO, CA 95014(626) 716-2032 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian Lee Dds, Md NPPES

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

DR. BRIAN LEE DDS, MD (NPI 1831586445) is an individual oral and maxillofacial surgery provider in Cupertino, California, licensed in California (65177) and active in the NPI registry since April 2015. He has opted out of Medicare through April 22, 2027 and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1831586445
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRIAN LEECredential: DDS, MD
Location Address20480 PACIFICA DR STE ACupertino, CA 95014-3015
Mailing Address20480 Pacifica Dr Ste ACupertino, CA 95014-3015 · (626) 716-2032
Phone(626) 716-2032
Sole ProprietorNo
Enumeration DateApril 21, 2015
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1831586445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 65177
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 65177 (CA)
20480 PACIFICA DR STE A, Cupertino, CA 95014
Open in Google Maps ↗

Secondary Practice Locations 3

Location 110430 S De Anza Blvd Ste 140Cupertino, CA 95014-3024 · Phone (408) 873-8484
Location 214830 Los Gatos Blvd Ste 200Los Gatos, CA 95032-2053 · Phone (408) 412-8400
Location 329 E Huntington DrArcadia, CA 91006-3210 · Phone (626) 716-2032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brian Lee Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2021 through April 22, 2027.

Opt-Out Effective DateApril 22, 2021
Opt-Out In Effect ThroughApril 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Brian Lee's NPI number?

The NPI number for Brian Lee is 1831586445. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Brian Lee located?

Brian Lee practices at 20480 Pacifica Dr Ste A, Cupertino, CA 95014. The listed phone number is (626) 716-2032.

What is Brian Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Brian Lee enrolled in Medicare?

No. Brian Lee has opted out of Medicare through April 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brian Lee was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.