Individual provider Active NPI

Jason Lee, D.D.S.

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1770848046
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28122 Issued in TX
Practice address
22167 Westheimer Pkwy Ste 110
Katy, TX 77450-8301
Phone
(281) 407-5442
NPI assigned
Jul 11, 2012
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28122 TX Primary

Addresses

Primary practice location

22167 Westheimer Pkwy Ste 110
Katy, TX 77450-8301

Mailing address

22167 Westheimer Pkwy Ste 110
Katy, TX 77450-8301
Phone (281) 407-5442

Other practice location 1

9738 Katy Fwy Ste 400
Houston, TX 77055-6214
Phone (832) 548-1533

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

LicenseStateTypeSpecialty
28122TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Texdent Ventures PLLC General Practice CurrentSince Sep 23, 2021 Accepting new patients
Glo Dental Group Barker Cypress PLLC General Practice Current Accepting new patients
Glo Barker Cypress PLLC General Practice Current Accepting new patients

Locations

22167 Westheimer Pkwy
Ste 110
Katy, TX 77450
Phone (281) 407-5442

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1770848046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22167 WESTHEIMER PKWY STE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508301",
            "telephone_number": "281-407-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22167 WESTHEIMER PKWY STE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508301",
            "telephone_number": "281-407-5442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9738 Katy Fwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770556214",
            "country_code": "US",
            "telephone_number": "832-548-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.