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DR. JAMES KEVIN JETTON DDS
NPI 1295775252
Dentist in Yucaipa, CA

Active since June 07, 2006PECOS Enrolled
YUCAIPA VALLEY SPANISH SDA CHURCH, 12504 4TH ST, YUCAIPA, CA 92399(909) 518-4133(909) 790-7206 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Kevin Jetton Dds NPPES

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

DR. JAMES KEVIN JETTON DDS (NPI 1295775252) is an individual dentist in Yucaipa, California, licensed in California (33939) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Patton.

NPPES Registry Identity

NPI1295775252
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JAMES KEVIN JETTONCredential: DDS
Location AddressYUCAIPA VALLEY SPANISH SDA CHURCH, 12504 4TH STYucaipa, CA 92399
Mailing Address37441 Ironwood DrYucaipa, CA 92399-7024 · (909) 518-4133 · Fax (909) 790-7206
Phone(909) 518-4133
Fax(909) 790-7206
Sole ProprietorYes
Enumeration DateJune 7, 2006
Last NPPES UpdateSeptember 27, 2018
✔ NPI 1295775252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 33939
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.
YUCAIPA VALLEY SPANISH SDA CHURCH, Yucaipa, CA 92399
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Secondary Practice Location 1

Location 13102 East Highland AvePatton, CA 92369 · Phone (909) 425-7000 · Fax (909) 425-7520

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Kevin Jetton Dds 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 Reassignment

Medicare enrollment records show James Jetton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of State Hospitals
57 mi
Psychiatric Hospital
11401 BLOOMFIELD AVE
Norwalk, CA 90650
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group
NPI 1265406565 (562) 863-7011

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 92399 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 James Jetton's NPI number?

The NPI number for James Jetton is 1295775252. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is James Jetton located?

James Jetton practices at Yucaipa Valley Spanish Sda Church 12504 4th St, Yucaipa, CA 92399. The listed phone number is (909) 518-4133.

What is James Jetton's specialty?

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

Is James Jetton enrolled in Medicare?

Yes. James Jetton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Jetton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Jetton reassigns Medicare benefits to Department Of State Hospitals (Norwalk, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Jetton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Jetton was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.