Alex Jinhyuk Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38296 Issued in TX

Practice address

1045 Norwood Park Blvd Ste 103
Austin, TX 78753-6671

Phone

(512) 815-3520

NPI assigned

Apr 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mydental at Norwood PLLC

  • General Practice Dentistry
  • Austin, TX
  • NPI 1013441286
  NPD (past)
• Premier Dental Clinc, LLC

  • General Practice Dentistry
  • North Riverside, IL
  • NPI 1811168800
  NPD (past)

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1255913273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 POOLE LN",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422497",
            "telephone_number": "872-772-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 NORWOOD PARK BLVD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536671",
            "telephone_number": "512-815-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALEX",
        "middle_name": "JINHYUK",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2024-02-26",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ledgestone Management LLC
• Rebecca Ledoux
• Lee Rogers Counseling Atx
• John Elliott Lee Sang, MD
• Paula Justine Lee-Oesterreich, PA-C
• Alexandra Lee, PT,DPT
• Alice Lee, M.D.
• Alison Jennifer Lee, PHD
• Andrew Kang Lee Jr.
• Annie Wonkyung Lee

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.