TAE KYUNG JUNG DMD
NPI 1366537078
Dentist in Medford, OR

Q: What is Tae Jung's NPI number?

The NPI number for Tae Jung is 1366537078. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Tae Jung'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 Tae Jung was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 04, 2006PECOS Enrolled

3502 EXCEL DR, #1, MEDFORD, OR 97504(541) 690-1656 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tae Kyung Jung Dmd NPPES

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

TAE KYUNG JUNG DMD (NPI 1366537078) is an individual dentist in Medford, Oregon, licensed in Oregon (D8640) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366537078

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTAE KYUNG JUNGCredential: DMD

Location Address3502 EXCEL DR, #1Medford, OR 97504-9136

Mailing Address3502 Excel Dr, #1Medford, OR 97504-9136 · (541) 690-1656

Phone(541) 690-1656

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateMarch 3, 2017

✔ NPI 1366537078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D8640

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.

3502 EXCEL DR, Medford, OR 97504

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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 Montana 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)

Tae Kyung Jung 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 97504 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A ELITE DENTAL, INC

Clinic/Center (Dental)

3502 EXCEL DR, #101
MEDFORD, OR 97504

Jackson County (541) 690-1656

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 Tae Jung's NPI number?

The NPI number for Tae Jung is 1366537078. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Tae Jung located?

Tae Jung practices at 3502 Excel Dr #1, Medford, OR 97504. The listed phone number is (541) 690-1656.

What is Tae Jung's specialty?

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

Is Tae Jung enrolled in Medicare?

Yes. Tae Jung is registered in the Medicare PECOS enrollment system.

What insurance does Tae Jung accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Tae Jung 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 Tae Jung was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.