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: August 23, 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
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

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

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.

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.

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 7 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.