Individual provider Active NPI

Jung Lee, DDS

  • Dentist
  • Irving, TX
National Provider Identifier
1114118601
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25159 Issued in TX
Practice address
2651 Texas Dr
Irving, TX 75062-7016
Phone
(972) 255-4164
Fax
(972) 252-1580
NPI assigned
Aug 8, 2007
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25159 TX Primary
General Practice Dentistry 1223G0001X 6605192 UT

Addresses

Primary practice location

2651 Texas Dr
Irving, TX 75062-7016

Mailing address

2651 Texas Dr
Irving, TX 75062-7016
Phone (972) 255-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25159TXMDDentist
6605192UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Sleep Better Solution PLLC Dentist Current Accepting new patients
Kids and Grownups Dental Dentist Current Accepting new patients

Locations

2651 Texas Dr
Irving, TX 75062
Phone (972) 252-7521

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1114118601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 TEXAS DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750627016",
            "telephone_number": "972-255-4164",
            "fax_number": "801-226-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 TEXAS DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750627016",
            "telephone_number": "972-255-4164",
            "fax_number": "972-252-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUNG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25159",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6605192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.