DR. SAMUEL SOONHO LEE DDS
NPI 1851418255
Dentist - Oral and Maxillofacial Surgery in San Diego, CA

Q: What is Samuel Lee's NPI number?

The NPI number for Samuel Lee is 1851418255. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Q: What is Samuel Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Lee was last updated on April 16, 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.

Active since March 23, 2007PECOS Enrolled

6727 FLANDERS DR STE 220, SAN DIEGO, CA 92121(714) 718-3446(888) 553-4912 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Aug 4, 2020 (2 updates tracked since 2020).

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About Dr. Samuel Soonho Lee Dds NPPES

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

DR. SAMUEL SOONHO LEE DDS (NPI 1851418255) is an individual oral and maxillofacial surgery provider in San Diego, California, licensed in California (51353) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851418255

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. SAMUEL SOONHO LEECredential: DDS

Location Address6727 FLANDERS DR STE 220San Diego, CA 92121-2926

Mailing Address11 Cambridge StBurlington, MA 01803-4625 · (714) 718-3446 · Fax (888) 391-8014

Phone(714) 718-3446

Fax(888) 553-4912

Sole ProprietorYes

Enumeration DateMarch 23, 2007

Last NPPES UpdateApril 16, 20242 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1851418255 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 · 51353

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 DN1855469 (MA), 51353 (CA), 054368-1 (NY)

6727 FLANDERS DR STE 220, San Diego, CA 92121

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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. Samuel Soonho 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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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

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

DR SAMUEL LEE DENTAL CORP

Dentist (Periodontics)

6727 FLANDERS DR STE 220
SAN DIEGO, CA 92121

San Diego County (858) 229-9869

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 Samuel Lee's NPI number?

The NPI number for Samuel Lee is 1851418255. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Samuel Lee located?

Samuel Lee practices at 6727 Flanders Dr Ste 220, San Diego, CA 92121. The listed phone number is (714) 718-3446.

What is Samuel Lee's specialty?

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

Is Samuel Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Lee was last updated on April 16, 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.