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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JHON CEBALLOS DDS
NPI 1033894662
Dentist - General Practice in Jacksonville, FL

Active since June 20, 2023PECOS Enrolled
5753 BEACH BLVD STE 4, JACKSONVILLE, FL 32207(352) 809-6294 Get Directions Write a Review

NPPES record last updated: August 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2026, Jul 28, 2026, Jun 21, 2023 (3 updates tracked since 2023).

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 Jacksonville, Florida, licensed in Florida (DN31600) 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 Address5753 BEACH BLVD STE 4Jacksonville, FL 32207-5128
Mailing Address4450 Tropea Way Unit 3418Jacksonville, FL 32246-8893
Phone(352) 809-6294
Sole ProprietorYes
Enumeration DateJune 20, 2023
Last NPPES UpdateAugust 8, 20263 updates tracked since enumeration
NPPES CertifiedAugust 8, 2026
✔ 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 FL · DN31600
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.
5753 BEACH BLVD STE 4, Jacksonville, FL 32207
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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 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 2

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

JUSTIN LE DMD
Dentist (General Practice)
5753 BEACH BLVD STE 4
JACKSONVILLE, FL 32207
Duval County (904) 441-1642
LUCIENNE PARK DMD
Dentist (General Practice)
5753 BEACH BLVD STE 4
JACKSONVILLE, FL 32207
Duval County (904) 441-1642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jhon Ceballos located?

Jhon Ceballos practices at 5753 Beach Blvd Ste 4, Jacksonville, FL 32207. The listed phone number is (352) 809-6294.

What is Jhon Ceballos's specialty?

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

Is Jhon Ceballos enrolled in Medicare?

Yes. Jhon Ceballos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jhon Ceballos was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.