JASON SANGJAE LEE D.D.S.
NPI 1942605969
Dentist in Sebastopol, CA

Q: What is Jason Lee's NPI number?

The NPI number for Jason Lee is 1942605969. It was assigned to this individual provider in the NPPES registry on November 3, 2014.

Q: What is Jason Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Lee was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 November 03, 2014PECOS Enrolled

7138 WILLOW ST, SEBASTOPOL, CA 95472(707) 823-5308(707) 823-5256 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jason Sangjae Lee D.d.s. NPPES

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

JASON SANGJAE LEE D.D.S. (NPI 1942605969) is an individual dentist in Sebastopol, California, licensed in California (100095) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942605969

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJASON SANGJAE LEECredential: D.D.S.

Location Address7138 WILLOW STSebastopol, CA 95472-4306

Mailing Address7138 Willow StSebastopol, CA 95472-4306 · (707) 823-5308 · Fax (707) 823-5256

Phone(707) 823-5308

Fax(707) 823-5256

Sole ProprietorYes

Enumeration DateNovember 3, 2014

Last NPPES UpdateJune 7, 2016

✔ NPI 1942605969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · 100095✔ Licensed in IN · 12012249A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7138 WILLOW ST, Sebastopol, CA 95472

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Sangjae Lee D.d.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95472 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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.

E. JANG DENTAL CORPORATION

Dentist

7138 WILLOW ST
SEBASTOPOL, CA 95472

Sonoma County (707) 823-5308

DR. EUN SUB JANG D. D. S.

Dentist (General Practice)

7138 WILLOW ST
SEBASTOPOL, CA 95472

Sonoma County (707) 823-5308

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 Jason Lee's NPI number?

The NPI number for Jason Lee is 1942605969. It was assigned to this individual provider in the NPPES registry on November 3, 2014.

Where is Jason Lee located?

Jason Lee practices at 7138 Willow St, Sebastopol, CA 95472. The listed phone number is (707) 823-5308.

What is Jason Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jason Lee enrolled in Medicare?

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

What insurance does Jason 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 Jason 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 Jason Lee was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.