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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONG KOO BYUN DDS
NPI 1477539864
Dentist - General Practice in Yadkinville, NC

Active since December 19, 2005PECOS Enrolled
114 W MAIN ST, YADKINVILLE, NC 27055(336) 679-2181(336) 679-2753 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jong Koo Byun Dds NPPES

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

JONG KOO BYUN DDS (NPI 1477539864) is an individual general practice provider in Yadkinville, North Carolina, licensed in North Carolina (6961) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477539864
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJONG KOO BYUNCredential: DDS
Location Address114 W MAIN STYadkinville, NC 27055
Mailing AddressPo Box 219Yadkinville, NC 27055-0219 · (336) 679-2181 · Fax (336) 679-2753
Phone(336) 679-2181
Fax(336) 679-2753
Sole ProprietorNo
Enumeration DateDecember 19, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1477539864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 6961
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
114 W MAIN ST, Yadkinville, NC 27055
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jong Koo Byun 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 27055 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 Jong Byun's NPI number?

The NPI number for Jong Byun is 1477539864. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Jong Byun located?

Jong Byun practices at 114 W Main St, Yadkinville, NC 27055. The listed phone number is (336) 679-2181.

What is Jong Byun's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jong Byun enrolled in Medicare?

Yes. Jong Byun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jong Byun was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.