HEESOO JEONG
NPI 1598442402
Dentist in Manteca, CA

Active since July 03, 2023PECOS Enrolled
2288 DANIELS ST, MANTECA, CA 95337(646) 388-4461 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heesoo Jeong NPPES

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

HEESOO JEONG (NPI 1598442402) is an individual dentist in Manteca, California, licensed in California (109362) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598442402
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameHEESOO JEONG
Location Address2288 DANIELS STManteca, CA 95337-6706
Mailing Address1010 16th St Apt 573San Francisco, CA 94107-3773 · (646) 388-4461
Sole ProprietorNo
Enumeration DateJuly 3, 2023
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
NPI 1598442402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 109362
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.

2288 DANIELS ST, Manteca, CA 95337

Accepted 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)

Heesoo Jeong 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 95337 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 18

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

Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
Dentist
2288 DANIELS ST
MANTECA, CA 95337
Dentist
2288 DANIELS ST
MANTECA, CA 95337
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
Dentist
2288 DANIELS ST
MANTECA, CA 95337

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 Heesoo Jeong's NPI number?

The NPI number for Heesoo Jeong is 1598442402. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Heesoo Jeong located?

Heesoo Jeong practices at 2288 Daniels St, Manteca, CA 95337. The listed phone number is (646) 388-4461.

What is Heesoo Jeong's specialty?

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

Is Heesoo Jeong enrolled in Medicare?

Yes. Heesoo Jeong is registered in the Medicare PECOS enrollment system.

What insurance does Heesoo Jeong accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Heesoo Jeong 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 Heesoo Jeong was last updated on September 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.