Active NPI
Jongwook Lee, DDS
- Dentist
- Spring, TX
National Provider Identifier
1689289381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36701
- Practice address
- 19380 Interstate 45 Ste 110
Spring, TX 77373-5308 - Phone
- (832) 607-0404
- NPI assigned
- Sep 10, 2020
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 36701 | TX | Primary |
Addresses
Primary practice location
19380 Interstate 45 Ste 110
Spring, TX 77373-5308
Mailing address
2109 Sawdust Rd Apt 24102
The Woodlands, TX 77380-5705
Phone (917) 407-7468
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 |
|---|---|---|---|
| 36701 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1689289381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 SAWDUST RD APT 24102",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773805705",
"telephone_number": "917-407-7468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19380 INTERSTATE 45 STE 110",
"city": "SPRING",
"state": "TX",
"postal_code": "773735308",
"telephone_number": "832-607-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JONGWOOK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.