JESSICA GONG
NPI 1285257279
Dentist in Boulder, CO

Q: What is Jessica Gong's NPI number?

The NPI number for Jessica Gong is 1285257279. It was assigned to this individual provider in the NPPES registry on May 25, 2020.

Q: What is Jessica Gong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Gong was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 May 25, 2020

4410 ARAPAHOE AVE STE 230, BOULDER, CO 80303(303) 442-4555 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 22, 2021, May 25, 2020 (2 updates tracked since 2020).

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About Jessica Gong NPPES

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

JESSICA GONG (NPI 1285257279) is an individual dentist in Boulder, Colorado, licensed in Colorado (DEN.00204879) and active in the NPI registry since May 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285257279

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJESSICA GONG

Location Address4410 ARAPAHOE AVE STE 230Boulder, CO 80303-1198

Mailing Address536 W 174th AveBroomfield, CO 80023-5206 · (770) 596-6827

Phone(303) 442-4555

Sole ProprietorNo

Enumeration DateMay 25, 2020

Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration

NPPES CertifiedJuly 23, 2025

✔ NPI 1285257279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CO · DEN.00204879

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4410 ARAPAHOE AVE STE 230, Boulder, CO 80303

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Secondary Practice Locations 2

Location 11775 Grand Concourse Fl 6Bronx, NY 10453-8202 · Phone (718) 901-8410

Location 23960 River Point Pkwy Unit ASheridan, CO 80110-3315 · Phone (303) 781-2340

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 ›

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 Jessica Gong's NPI number?

The NPI number for Jessica Gong is 1285257279. It was assigned to this individual provider in the NPPES registry on May 25, 2020.

Where is Jessica Gong located?

Jessica Gong practices at 4410 Arapahoe Ave Ste 230, Boulder, CO 80303. The listed phone number is (303) 442-4555.

What is Jessica Gong's specialty?

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

What insurance does Jessica Gong 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 Jessica Gong 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 Jessica Gong was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.