Active NPI
Samuel Jun Lee, D.D.S.
- Dentist
- El Paso, TX
National Provider Identifier
1225588585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42899
- Practice address
- 6351 S Desert Blvd Ste 210
El Paso, TX 79932-1233 - Phone
- (915) 706-2909
- NPI assigned
- Oct 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42899 | TX | Primary |
Addresses
Primary practice location
6351 S Desert Blvd Ste 210
El Paso, TX 79932-1233
Mailing address
12515 Breeder Cup Way
El Paso, TX 79928-2274
Phone (217) 316-3315
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09639 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1225588585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12515 BREEDER CUP WAY",
"city": "EL PASO",
"state": "TX",
"postal_code": "799282274",
"telephone_number": "217-316-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6351 S DESERT BLVD STE 210",
"city": "EL PASO",
"state": "TX",
"postal_code": "799321233",
"telephone_number": "915-706-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SAMUEL",
"middle_name": "JUN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-11",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "42899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.