Active NPI
Joung Woo Lee, D.M.D.
- General Practice Dentistry
- Floresville, TX
National Provider Identifier
1245613090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31096
- Practice address
- 2006 10TH St
Floresville, TX 78114-2770 - Phone
- (830) 393-8333
- NPI assigned
- Jun 29, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31096 | TX | Primary |
Addresses
Primary practice location
2006 10TH St
Floresville, TX 78114-2770
Mailing address
7035 Pickwell Dr Apt 13200
San Antonio, TX 78223-3472
Phone (404) 641-7024
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 |
|---|---|---|---|
| 31096 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1245613090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7035 PICKWELL DR APT 13200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782233472",
"telephone_number": "404-641-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 10TH ST",
"city": "FLORESVILLE",
"state": "TX",
"postal_code": "781142770",
"telephone_number": "830-393-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOUNG",
"middle_name": "WOO",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floresville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.