WON JONG LEE DDS MD
NPI 1912429101
Dentist - Oral and Maxillofacial Surgery in Henderson, NV

Active since July 10, 2017PECOS Enrolled
2835 SAINT ROSE PKWY STE 100, HENDERSON, NV 89052(310) 715-9585 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2023, Jul 27, 2021, Jul 10, 2017 (3 updates tracked since 2017).

About Won Jong Lee Dds Md NPPES

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

WON JONG LEE DDS MD (NPI 1912429101) is an individual oral and maxillofacial surgery provider in Henderson, Nevada, licensed in Nevada (S2-203C) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912429101
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameWON JONG LEECredential: DDS MD
Location Address2835 SAINT ROSE PKWY STE 100Henderson, NV 89052-4847
Mailing Address334 N Atlantic Blvd Apt 209Alhambra, CA 91801-2223 · (310) 715-9585
Sole ProprietorNo
Enumeration DateJuly 10, 2017
Last NPPES UpdateMay 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 30, 2021
NPI 1912429101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in NV · S2-203C Licensed in CA · 101135
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 101135 (CA)
2835 SAINT ROSE PKWY STE 100, Henderson, NV 89052

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Won Jong Lee Dds Md 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 89052 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 2

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

Oral & Maxillofacial Surgery
2835 SAINT ROSE PKWY STE 100
HENDERSON, NV 89052
Dentist (Oral and Maxillofacial Surgery)
2835 SAINT ROSE PKWY STE 100
HENDERSON, NV 89052

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 Won Jong Lee's NPI number?

The NPI number for Won Jong Lee is 1912429101. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Won Jong Lee located?

Won Jong Lee practices at 2835 Saint Rose Pkwy Ste 100, Henderson, NV 89052. The listed phone number is (310) 715-9585.

What is Won Jong Lee's specialty?

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

Is Won Jong Lee enrolled in Medicare?

Yes. Won Jong Lee is registered in the Medicare PECOS enrollment system.

What insurance does Won Jong 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 6 other insurers list Won Jong 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 Won Jong Lee was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.