DR. JHON CEBALLOS DDS
NPI 1033894662
Dentist - General Practice in Cambridge, MA

Q: What is Jhon Ceballos's NPI number?

The NPI number for Jhon Ceballos is 1033894662. It was assigned to this individual provider in the NPPES registry on June 20, 2023. The provider is also known as N/A N/A.

Q: What is Jhon Ceballos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jhon Ceballos was last updated on August 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2023PECOS Enrolled

119 WINDSOR ST, CAMBRIDGE, MA 02139(617) 665-3990 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jhon Ceballos Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JHON CEBALLOS DDS (NPI 1033894662) is an individual general practice provider in Cambridge, Massachusetts, licensed in Massachusetts (DL15752) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033894662

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JHON CEBALLOSCredential: DDS

Location Address119 WINDSOR STCambridge, MA 02139-3647

Mailing Address399 Congress St Apt 404Boston, MA 02210-2574 · (305) 748-7703

Phone(617) 665-3990

Sole ProprietorYes

Enumeration DateJune 20, 2023

Last NPPES UpdateAugust 1, 2023

NPPES CertifiedAugust 1, 2023

✔ NPI 1033894662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MA · DL15752

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

119 WINDSOR ST, Cambridge, MA 02139

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Other Names 1

Other Name (5)N/a N/a

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jhon Ceballos Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA SENEE

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