Jin Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21524 Issued in TX

Practice address

7917 McPherson Rd
Suite 202
Laredo, TX 78045-2811

Phone

(956) 712-8444

Fax

(956) 712-8439

NPI assigned

May 12, 2008

Last updated

May 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Laredo Covenant Dental, P.a.

  • General Practice Dentistry
  • Laredo, TX
  • NPI 1477669257
  NPD (past) Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1982871778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 MCPHERSON RD",
            "address_2": "SUITE 202",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452811",
            "telephone_number": "956-712-8444",
            "fax_number": "956-712-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7917 MCPHERSON RD",
            "address_2": "SUITE 202",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452811",
            "telephone_number": "956-712-8444",
            "fax_number": "956-712-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JIN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "G6003101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161773002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yamile Guadalupe Leal, BSN, RN, CP-SANE
• Valeria Noemi Lecea
• Maria Lechuga
• Amy Ledesma
• Francisco Ledesma
• Debbie Leija
• Leonel Gutierrez
• Leonides G. Cigarroa, Jr., M.D., P.a.
• Ler Physicians, PLLC
• Ler Radiology LLC

• General Practice Dentistry in Laredo, TX
• Providers in Laredo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.