Active NPI
Ji Won Lee, DMD
- Dentist
- Parma, OH
National Provider Identifier
1750276168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30028059
- Practice address
- 5454 State Rd Ste 1a
Parma, OH 44134-1219 - Phone
- (216) 398-5080
- NPI assigned
- Jun 9, 2025
- Last updated
- Aug 20, 2025
- Sex
- Female
- 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 | 30028059 | OH | Primary |
Addresses
Primary practice location
5454 State Rd Ste 1a
Parma, OH 44134-1219
Mailing address
5454 State Rd Ste 1a
Parma, OH 44134-1219
Phone (216) 398-5080
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 |
|---|---|---|---|
| 30028059 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1750276168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 STATE RD STE 1A",
"city": "PARMA",
"state": "OH",
"postal_code": "441341219",
"telephone_number": "216-398-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 STATE RD STE 1A",
"city": "PARMA",
"state": "OH",
"postal_code": "441341219",
"telephone_number": "216-398-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JI WON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30028059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.