SUNG YEON JI DDS
NPI 1609208040
Dentist in Eugene, OR

Q: What is Sung Yeon Ji's NPI number?

The NPI number for Sung Yeon Ji is 1609208040. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Q: What is Sung Yeon Ji'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 Sung Yeon Ji was last updated on September 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 08, 2013PECOS Enrolled

927 COUNTRY CLUB RD STE 100, EUGENE, OR 97401(458) 201-8471 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sung Yeon Ji Dds NPPES

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

SUNG YEON JI DDS (NPI 1609208040) is an individual dentist in Eugene, Oregon, licensed in Oregon (D10100) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609208040

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSUNG YEON JICredential: DDS

Location Address927 COUNTRY CLUB RD STE 100Eugene, OR 97401-6018

Mailing Address13190 Se 162nd Ave Apt 219Happy Valley, OR 97015-3780 · (971) 266-7043

Phone(458) 201-8471

Sole ProprietorYes

Enumeration DateAugust 8, 2013

Last NPPES UpdateSeptember 22, 2015

✔ NPI 1609208040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in OR · D10100✔ Licensed in IL · 019029604

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.

927 COUNTRY CLUB RD STE 100, Eugene, OR 97401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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

✔

Enrolled in Medicare (PECOS)

Sung Yeon Ji 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 97401 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.

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 Sung Yeon Ji's NPI number?

The NPI number for Sung Yeon Ji is 1609208040. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Where is Sung Yeon Ji located?

Sung Yeon Ji practices at 927 Country Club Rd Ste 100, Eugene, OR 97401. The listed phone number is (458) 201-8471.

What is Sung Yeon Ji's specialty?

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

Is Sung Yeon Ji enrolled in Medicare?

Yes. Sung Yeon Ji is registered in the Medicare PECOS enrollment system.

What insurance does Sung Yeon Ji accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 9 other insurers list Sung Yeon Ji 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 Sung Yeon Ji was last updated on September 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.