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DR. YONG WOO JEON DDS
NPI 1154983120
Student in an Organized Health Care Education/Training Program in Toledo, OH

Active since June 30, 2019PECOS Enrolled
3000 ARLINGTON AVE, MAILSTOP 1132, TOLEDO, OH 43614(419) 383-3805(419) 383-2969 Get Directions Write a Review

NPPES record last updated: June 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Yong Woo Jeon Dds NPPES

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

DR. YONG WOO JEON DDS (NPI 1154983120) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1154983120
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. YONG WOO JEONCredential: DDS
Location Address3000 ARLINGTON AVE, MAILSTOP 1132Toledo, OH 43614
Mailing Address3000 Arlington Ave, Mailstop 1132Toledo, OH 43614 · (419) 383-3805 · Fax (419) 383-2969
Phone(419) 383-3805
Fax(419) 383-2969
Sole ProprietorNo
Enumeration DateJune 30, 2019
✔ NPI 1154983120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3000 ARLINGTON AVE, MAILSTOP 1132, Toledo, OH 43614
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Secondary Practice Location 1

Location 13000 Arlington AveToledo, OH 43614-2595 · Phone (419) 383-3504 · Fax (419) 383-6127

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. Yong Woo Jeon 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.

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 Yong Woo Jeon's NPI number?

The NPI number for Yong Woo Jeon is 1154983120. It was assigned to this individual provider in the NPPES registry on June 30, 2019.

Where is Yong Woo Jeon located?

Yong Woo Jeon practices at 3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614. The listed phone number is (419) 383-3805.

What is Yong Woo Jeon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Yong Woo Jeon enrolled in Medicare?

Yes. Yong Woo Jeon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yong Woo Jeon was last updated on June 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.