Individual provider Active NPI

Minyoung Lee

  • General Practice Dentistry
  • Fort Bliss, TX
National Provider Identifier
1154981256
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35125 Issued in TX
Practice address
1617 Pleasonton Rd
Suite G129
Fort Bliss, TX 79906-7990
Phone
(915) 895-3678
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 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 35125 TX
General Practice Dentistry 1223G0001X 35125 TX Primary

Addresses

Primary practice location

1617 Pleasonton Rd
Suite G129
Fort Bliss, TX 79906-7990

Mailing address

1617 Pleasonton RX
G129
Fort Bliss, TX 79906-7909
Phone (915) 895-3678

Other practice location 1

7955 N Mesa St Ste A
El Paso, TX 79932-1625
Phone (915) 845-2222

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
35125TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bliss Family Dentistry, PLLC Dentist CurrentSince Jan 1, 2023 Accepting new patients
Ez Dental Care, PLLC CurrentSince Apr 6, 2025 Accepting new patients
Oral Healthcare Consulting and Education PLLC General Practice CurrentSince Jan 4, 2026 Accepting new patients
Zaragoza Dental Care PLLC PastSince Jan 1, 2020 Accepting new patients
Healing Dentistry Ep PLLC Dentist PastSince May 1, 2020 Accepting new patients

Locations

7955 N Mesa St
Ste A
El Paso, TX 79932
Phone (626) 807-8111

1788 N Zaragoza Rd
El Paso, TX 79936
Phone (915) 849-9000

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1154981256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 PLEASONTON RX",
            "address_2": "G129",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799067909",
            "telephone_number": "915-895-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 PLEASONTON RD",
            "address_2": "SUITE G129",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799067990",
            "telephone_number": "915-895-3678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7955 N Mesa St Ste A",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799321625",
            "country_code": "US",
            "telephone_number": "915-845-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MINYOUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35125",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bliss, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.