DR. JACK B OH D.D.S.
NPI 1609844505
Dentist - General Practice in Diamond Bar, CA

Q: What is Jack Oh's NPI number?

The NPI number for Jack Oh is 1609844505. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Jack Oh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Oh was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 March 08, 2006PECOS Enrolled

2705 S DIAMOND BAR BLVD, SUITE 288, DIAMOND BAR, CA 91765(909) 444-9400(909) 444-3311 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jack B Oh D.d.s. NPPES

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

DR. JACK B OH D.D.S. (NPI 1609844505) is an individual general practice provider in Diamond Bar, California, licensed in California (42205) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609844505

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK B OHCredential: D.D.S.

Location Address2705 S DIAMOND BAR BLVD, SUITE 288Diamond Bar, CA 91765-3512

Mailing Address2705 S Diamond Bar Blvd, Suite 288Diamond Bar, CA 91765-3512 · (909) 444-9400 · Fax (909) 444-3311

Phone(909) 444-9400

Fax(909) 444-3311

Sole ProprietorNo

Enumeration DateMarch 8, 2006

Last NPPES UpdateApril 22, 2014

✔ NPI 1609844505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 42205

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.

2705 S DIAMOND BAR BLVD, Diamond Bar, CA 91765

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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 Alabama, Blue Cross and Blue Shield of Montana 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)

Dr. Jack B Oh D.d.s. 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 91765 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 4

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

DR. DA EUN JUNG DDS

Dentist

2705 S DIAMOND BAR BLVD, STE 100
DIAMOND BAR, CA 91765

Los Angeles County (909) 860-1222

A-ONE MEDICAL GROUP, INC. A PROFESSIONAL CORPORATION

Family Medicine

2705 S DIAMOND BAR BLVD, UNIT #100
DIAMOND BAR, CA 91765

Los Angeles County (626) 965-1988

YU WEI CHOU, D.D.S., INC.

Clinic/Center (Dental)

2705 S DIAMOND BAR BLVD, #308
DIAMOND BAR, CA 91765

Los Angeles County (951) 660-8801

A-ONE MEDICAL GROUP, INC. A PROFESSIONAL CORPORATION

Family Medicine

2705 S DIAMOND BAR BLVD, SUITE 118
DIAMOND BAR, CA 91765

Los Angeles County (626) 965-1988

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 Jack Oh's NPI number?

The NPI number for Jack Oh is 1609844505. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Jack Oh located?

Jack Oh practices at 2705 S Diamond Bar Blvd Suite 288, Diamond Bar, CA 91765. The listed phone number is (909) 444-9400.

What is Jack Oh's specialty?

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

Is Jack Oh enrolled in Medicare?

Yes. Jack Oh is registered in the Medicare PECOS enrollment system.

What insurance does Jack Oh accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jack Oh 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 Jack Oh was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.