Individual provider Active NPI

Jung Bin Lee, DDS

  • General Practice Dentistry
  • Lubbock, TX
National Provider Identifier
1942986914
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42154 Issued in TX
Practice address
5255 79TH St
Lubbock, TX 79424-2852
Phone
(806) 794-7171
NPI assigned
Jun 26, 2023
Last updated
Aug 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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 42154 TX Primary

Addresses

Primary practice location

5255 79TH St
Lubbock, TX 79424-2852

Mailing address

5255 79TH St
Lubbock, TX 79424-2852
Phone (806) 794-7171

Other practice location 1

6319 82nd St
Lubbock, TX 79424-0830
Phone (806) 300-8989

Other names 1

  • Jason Lee Former name

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
42154TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Shin DDS, Inc CurrentSince Nov 1, 2024 Accepting new patients
Columbia Dental of Elizabeth PA General Practice CurrentSince Dec 22, 2024 Accepting new patients
Lena Shoukfeh Kharrat DDS PA PastSince Mar 11, 2025 Accepting new patients
Abbeville Family Dentistry General Practice PastSince Jun 5, 2017 Accepting new patients

Locations

422 Main St
#1
Fort Lee, NJ 07024
Phone (201) 585-1838

Organizations & group practices 4

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1942986914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 79TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242852",
            "telephone_number": "806-794-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 79TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242852",
            "telephone_number": "806-794-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6319 82nd St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794240830",
            "country_code": "US",
            "telephone_number": "806-300-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUNG BIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "LEE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.