DR. JESSICA BONG DDS
NPI 1578872313
Dentist in Canyon Country, CA

Q: What is Jessica Bong's NPI number?

The NPI number for Jessica Bong is 1578872313. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Q: What is Jessica Bong'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 Jessica Bong was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 September 28, 2010PECOS Enrolled

19366 SOLEDAD CANYON RD, CANYON COUNTRY, CA 91351(661) 252-8888 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Jessica Bong Dds NPPES

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

DR. JESSICA BONG DDS (NPI 1578872313) is an individual dentist in Canyon Country, California, licensed in California (59618) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578872313

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JESSICA BONGCredential: DDS

Location Address19366 SOLEDAD CANYON RDCanyon Country, CA 91351-2629

Mailing Address250 N 1st St Unit 332Burbank, CA 91502-1871

Phone(661) 252-8888

Sole ProprietorNo

Enumeration DateSeptember 28, 2010

✔ NPI 1578872313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 59618

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.

19366 SOLEDAD CANYON RD, Canyon Country, CA 91351

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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)

Dr. Jessica Bong 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 91351 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 2

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

OLIVER KAMARI-BIDKORPEH D.D.S.

Dentist

19366 SOLEDAD CANYON RD
CANYON COUNTRY, CA 91351

Los Angeles County (818) 634-7285

ALEXI KOSSI, DDS INC.

Dentist (General Practice)

19366 SOLEDAD CANYON RD
CANYON COUNTRY, CA 91351

Los Angeles County (661) 252-8888

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 Jessica Bong's NPI number?

The NPI number for Jessica Bong is 1578872313. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Where is Jessica Bong located?

Jessica Bong practices at 19366 Soledad Canyon Rd, Canyon Country, CA 91351. The listed phone number is (661) 252-8888.

What is Jessica Bong's specialty?

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

Is Jessica Bong enrolled in Medicare?

Yes. Jessica Bong is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Bong accept?

Health plans from Humana list Jessica Bong 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 Jessica Bong was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.