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

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: August 02, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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)
7900 S J STOCK RD
TUCSON, AZ 85746
Pima County (520) 295-2503
MS. ALETHEA ANN KNEECE R.N.
Registered Nurse
7900 S J STOCK RD
TUCSON, AZ 85746
Pima County (520) 295-2503
MS. JACQUELINE DONNA YOTTER RN
Registered Nurse
7900 S J STOCK RD
TUCSON, AZ 85746
Pima County (520) 295-2550
DR. DAVID E WUNDER DDS
Dentist
7900 S J STOCK RD
TUCSON, AZ 85746
Pima County (520) 295-2503
TON SELLS PHYSICIAN SERVICES
Family Medicine
7900 S J STOCK RD
TUCSON, AZ 85746
Pima County (520) 295-2503
DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC
Counselor (Mental Health)
7900 S J STOCK RD
TUCSON, AZ 85746
Pima County (520) 295-2427
PETER ASHWIN REDING DO
Family Medicine
7900 S J STOCK RD
TUCSON, AZ 85746
Pima County (520) 383-7200
DIANA EKWUNIFE RN
Registered Nurse (Ambulatory Care)
7900 S J STOCK RD
TUCSON, AZ 85746
Pima County (520) 383-7200

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 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.

Where is Jeong Ho Seo located?

Jeong Ho Seo practices at 7900 S J Stock Rd, Tucson, AZ 85746. The listed phone number is (520) 295-2575.

What is Jeong Ho Seo's specialty?

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

Is Jeong Ho Seo enrolled in Medicare?

Yes. Jeong Ho Seo is registered in the Medicare PECOS enrollment system.

What insurance does Jeong Ho Seo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jeong Ho Seo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.