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JAEWOONG JANG DMD
NPI 1285180638
Dentist in Fairfax, VA

Active since August 26, 2016PECOS Enrolled
11050 LEE HWY, FAIRFAX, VA 22030(703) 520-6376 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2022, Mar 5, 2020, Aug 26, 2016 (3 updates tracked since 2016).

About Jaewoong Jang Dmd NPPES

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

JAEWOONG JANG DMD (NPI 1285180638) is an individual dentist in Fairfax, Virginia, licensed in Virginia (0401415368) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285180638
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJAEWOONG JANGCredential: DMD
Location Address11050 LEE HWYFairfax, VA 22030-5014
Mailing Address11050 Lee HwyFairfax, VA 22030-5014 · (703) 520-6376
Phone(703) 520-6376
Sole ProprietorNo
Enumeration DateAugust 26, 2016
Last NPPES UpdateJuly 22, 20223 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
✔ NPI 1285180638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in VA · 0401415368✔ Licensed in DC · DEN10001656
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.
11050 LEE HWY, Fairfax, VA 22030
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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 Alabama 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)

Jaewoong Jang 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 22030 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

FAIRFAX MODERN DENTISTRY, PC
Dentist
11050 LEE HWY
FAIRFAX, VA 22030
Fairfax City (703) 520-6376
ASHKAN DAVARY DOWLATABADY MD, DDS
Dentist (Oral and Maxillofacial Surgery)
11050 LEE HWY
FAIRFAX, VA 22030
Fairfax City (949) 338-8291

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 Jaewoong Jang's NPI number?

The NPI number for Jaewoong Jang is 1285180638. It was assigned to this individual provider in the NPPES registry on August 26, 2016.

Where is Jaewoong Jang located?

Jaewoong Jang practices at 11050 Lee Hwy, Fairfax, VA 22030. The listed phone number is (703) 520-6376.

What is Jaewoong Jang's specialty?

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

Is Jaewoong Jang enrolled in Medicare?

Yes. Jaewoong Jang is registered in the Medicare PECOS enrollment system.

What insurance does Jaewoong Jang accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jaewoong Jang 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 Jaewoong Jang was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.