Active NPI
John Jaewoo Lee, DDS
- Dentist
- Houston, TX
National Provider Identifier
1932549607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29168
- Practice address
- 5900 North Fwy Ste 105
Houston, TX 77076-4041 - Phone
- (281) 771-1111
- NPI assigned
- Jun 26, 2013
- 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 | 29168 | TX | Primary |
Addresses
Primary practice location
5900 North Fwy Ste 105
Houston, TX 77076-4041
Mailing address
1011 Green Kensington Dr Apt 1402
Houston, TX 77008-1090
Phone (972) 786-6920
Other practice location 1
7599 Garth Rd Ste 800
Baytown, TX 77521-7720
Phone (972) 786-6920
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 |
|---|---|---|---|
| 29168 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresh Orthodontics, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Houston, TX
- NPI 1417305269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1932549607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 GREEN KENSINGTON DR APT 1402",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081090",
"telephone_number": "972-786-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 NORTH FWY STE 105",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770764041",
"telephone_number": "281-771-1111"
}
],
"practiceLocations": [
{
"address_1": "7599 Garth Rd Ste 800",
"address_purpose": "LOCATION",
"city": "Baytown",
"state": "TX",
"postal_code": "775217720",
"country_code": "US",
"telephone_number": "972-786-6920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JOHN",
"middle_name": "JAEWOO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-26",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.