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DR. BROCK JASON LORENZ D.M.D., M.S.
NPI 1861839243
Dentist - Periodontics in La Mesa, CA

Active since May 27, 2013PECOS Enrolled
4636 LEE AVE, LA MESA, CA 91942(619) 804-8339 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brock Jason Lorenz D.m.d., M.s. NPPES

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

DR. BROCK JASON LORENZ D.M.D., M.S. (NPI 1861839243) is an individual periodontics provider in La Mesa, California, licensed in California (61270) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861839243
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BROCK JASON LORENZCredential: D.M.D., M.S.
Location Address4636 LEE AVELa Mesa, CA 91942-6939
Mailing Address4636 Lee AveLa Mesa, CA 91942-6939 · (619) 804-8339
Phone(619) 804-8339
Sole ProprietorYes
Enumeration DateMay 27, 2013
Last NPPES UpdateJuly 23, 2014
✔ NPI 1861839243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 61270
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4636 LEE AVE, La Mesa, CA 91942
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Accepted Insurance

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

Dr. Brock Jason Lorenz D.m.d., M.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Brock Lorenz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pouldar Kimia And Lorenz Dental Partnership
127 mi
General Practice
14912 BURBANK BLVD
Sherman Oaks, CA 91411
  • Reassigned Medicare billing, California enrollment
NPI 1639624463 (480) 619-1415

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 91942 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.

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 Brock Lorenz's NPI number?

The NPI number for Brock Lorenz is 1861839243. It was assigned to this individual provider in the NPPES registry on May 27, 2013.

Where is Brock Lorenz located?

Brock Lorenz practices at 4636 Lee Ave, La Mesa, CA 91942. The listed phone number is (619) 804-8339.

What is Brock Lorenz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Brock Lorenz enrolled in Medicare?

Yes. Brock Lorenz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brock Lorenz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Lorenz reassigns Medicare benefits to Pouldar Kimia And Lorenz Dental Partnership (Sherman Oaks, CA). 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 Brock Lorenz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brock Lorenz 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 6 other insurers list Brock Lorenz 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 Brock Lorenz was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.