JONATHAN R DEJONG D.D.S.
NPI 1396952297
Dentist - Oral and Maxillofacial Surgery in Fort Dodge, IA

Q: What is Jonathan Dejong's NPI number?

The NPI number for Jonathan Dejong is 1396952297. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Jonathan Dejong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Jonathan Dejong enrolled in Medicare?

No. Jonathan Dejong has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Dejong was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 17, 2007Opted out of Medicare · through Jul 1, 2028

804 KENYON RD STE 120, FORT DODGE, IA 50501(515) 576-8727(515) 576-7076 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Jonathan R Dejong D.d.s. NPPES

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

JONATHAN R DEJONG D.D.S. (NPI 1396952297) is an individual oral and maxillofacial surgery provider in Fort Dodge, Iowa, licensed in Iowa (08428) and active in the NPI registry since May 2007. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396952297

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameJONATHAN R DEJONGCredential: D.D.S.

Location Address804 KENYON RD STE 120Fort Dodge, IA 50501-5746

Mailing Address804 Kenyon Rd Ste 120Fort Dodge, IA 50501-5746 · (515) 576-8727 · Fax (515) 576-7076

Phone(515) 576-8727

Fax(515) 576-7076

Sole ProprietorNo

Enumeration DateMay 17, 2007

Last NPPES UpdateJune 15, 2010

✔ NPI 1396952297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IA · 08428

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

804 KENYON RD STE 120, Fort Dodge, IA 50501

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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jonathan R Dejong D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2010 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2010

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50501 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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 Jonathan Dejong's NPI number?

The NPI number for Jonathan Dejong is 1396952297. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Jonathan Dejong located?

Jonathan Dejong practices at 804 Kenyon Rd Ste 120, Fort Dodge, IA 50501. The listed phone number is (515) 576-8727.

What is Jonathan Dejong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jonathan Dejong enrolled in Medicare?

No. Jonathan Dejong has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jonathan Dejong accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Iowa and 1 other insurer list Jonathan Dejong 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 Jonathan Dejong was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.