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DR. JAE SANG OH DMD
NPI 1235612599
Dentist in North Chicago, IL

Active since September 12, 2018PECOS Enrolled
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064(847) 688-2100 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, Oct 2, 2023, Sep 12, 2018 (3 updates tracked since 2018).

About Dr. Jae Sang Oh Dmd NPPES

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

DR. JAE SANG OH DMD (NPI 1235612599) is an individual dentist in North Chicago, Illinois, licensed in California (107185) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235612599
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JAE SANG OHCredential: DMD
Location Address3001 GREEN BAY RDNorth Chicago, IL 60064-3048
Mailing Address842 Waukegan RdNorthbrook, IL 60062-3714 · (858) 943-1174
Phone(847) 688-2100
Sole ProprietorNo
Enumeration DateSeptember 12, 2018
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1235612599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in CA · 107185✔ Licensed in IL · 019.031875
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3001 GREEN BAY RD, North Chicago, IL 60064
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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. Jae Sang Oh 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 60064 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

DR. PHILIP CYRUS FANAPOUR DO
Anesthesiology (Critical Care Medicine)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (224) 610-1900
MR. BIJU CHERIAN PA-C
Physician Assistant
3001 GREEN BAY RD, CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY
NORTH CHICAGO, IL 60064
Lake County (224) 610-8201
GAGANDEEP SINGH GROVER MD
Internal Medicine
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
SARA ELISE RINGLE RN
Registered Nurse
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (810) 494-1587
NEELPREET TOOR DO
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
BRANDON FLERES
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
SEMYON SHULMAN
Psychiatry & Neurology (Neurology)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
MS. SHIRLEY ANN HOFFMAN MSW
Social Worker (Clinical)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (224) 610-5901

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 Jae Oh's NPI number?

The NPI number for Jae Oh is 1235612599. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Jae Oh located?

Jae Oh practices at 3001 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (847) 688-2100.

What is Jae Oh's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jae Oh enrolled in Medicare?

Yes. Jae Oh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jae Oh was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.