DR. JEONG HO SEO DMD
NPI 1174931133
Dentist - Pediatric Dentistry in Tucson, AZ

Q: What is Jeong Ho Seo's NPI number?

The NPI number for Jeong Ho Seo is 1174931133. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Q: What is Jeong Ho Seo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Jeong Ho Seo was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since July 23, 2014PECOS Enrolled

7900 S J STOCK RD, TUCSON, AZ 85746(520) 295-2575 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2021, Mar 11, 2021, Jun 13, 2016 (3 updates tracked since 2016).

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About Dr. Jeong Ho Seo Dmd NPPES

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

DR. JEONG HO SEO DMD (NPI 1174931133) is an individual pediatric dentistry provider in Tucson, Arizona, licensed in Washington (DE61155736) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174931133

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. JEONG HO SEOCredential: DMD

Location Address7900 S J STOCK RDTucson, AZ 85746-7012

Mailing Address7900 S J Stock RdTucson, AZ 85746-7012

Phone(520) 295-2575

Sole ProprietorYes

Enumeration DateJuly 23, 2014

Last NPPES UpdateMay 28, 20213 updates tracked since enumeration

NPPES CertifiedMay 28, 2021

✔ NPI 1174931133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in WA · DE61155736✔ Licensed in AZ · D009986

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

7900 S J STOCK RD, Tucson, AZ 85746

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeong Ho Seo Dmd 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.

Medicare Billing Reassignments

Medicare enrollment records show Jeong Ho Seo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ton San Xavier Health Center

Same address

Public Health, Federal

7900 S J STOCK RD
Tucson, AZ 85746

Reassigned Medicare billing, Texas enrollment
286 clinicians in this Medicare group

NPI 1437157302 (520) 547-8140

San Xavier District Office

2.3 mi

Public Health or Welfare

2018 W SAN XAVIER RD
Tucson, AZ 85746

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Ton Sells Hospital
349 clinicians in this Medicare group

NPI 1073694832 (520) 295-2503

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85746 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 20

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

LATOYA ANN BONNER

Pharmacist (Pharmacotherapy)