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JIN YUN DDS
NPI 1629702618
Dentist in Fresno, CA

Active since July 14, 2022PECOS Enrolled
2610 TUOLUMNE ST, FRESNO, CA 93721(559) 646-6618 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2022, Jul 14, 2022 (2 updates tracked since 2022).

About Jin Yun Dds NPPES

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

JIN YUN DDS (NPI 1629702618) is an individual dentist in Fresno, California, licensed in California (DDS107474) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1629702618
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJIN YUNCredential: DDS
Location Address2610 TUOLUMNE STFresno, CA 93721-1227
Mailing Address2610 Tuolumne StFresno, CA 93721-1227 · (559) 646-6618
Phone(559) 646-6618
Sole ProprietorYes
Enumeration DateJuly 14, 2022
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1629702618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS107474
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.
2610 TUOLUMNE ST, Fresno, CA 93721
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Secondary Practice Location 1

Location 110432 N Price AveFresno, CA 93730-4733 · Phone (646) 715-3003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Renaissance Dental.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jin Yun 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.

Medicare Billing Reassignment

Medicare enrollment records show Jin Yun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kcs, Inc.
222 mi
Federally Qualified Health Center (FQHC)
6494 CABALLERO BLVD
Buena Park, CA 90620
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
NPI 1588252027 (714) 503-6550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93721 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 8

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

DR. STEPHANIE PHYO O.D.
Optometrist
2610 TUOLUMNE ST
FRESNO, CA 93721
Fresno County (559) 825-8610
SACHI RUTUL THAKKAR
Dentist
2610 TUOLUMNE ST
FRESNO, CA 93721
Fresno County (469) 926-5638
JUAN IBARRA DDS
Dentist
2610 TUOLUMNE ST
FRESNO, CA 93721
Fresno County (800) 492-4227
TOM NORTHEY P.T.
Physical Therapist
2610 TUOLUMNE ST
FRESNO, CA 93721
Fresno County (615) 778-4066
RAMON E VERA MD
Family Medicine
2610 TUOLUMNE ST
FRESNO, CA 93721
Fresno County (615) 778-4066
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Clinic/Center (Federally Qualified Health Center (FQHC))
2610 TUOLUMNE ST
FRESNO, CA 93721
Fresno County (800) 492-4227
NGOC HONG HA DDS
Dentist
2610 TUOLUMNE ST
FRESNO, CA 93721
Fresno County (800) 492-4227
DR. JAGDEEP TULI MD
Pediatrics
2610 TUOLUMNE ST
FRESNO, CA 93721
Fresno County (559) 825-2630

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 Jin Yun's NPI number?

The NPI number for Jin Yun is 1629702618. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Where is Jin Yun located?

Jin Yun practices at 2610 Tuolumne St, Fresno, CA 93721. The listed phone number is (559) 646-6618.

What is Jin Yun's specialty?

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

Is Jin Yun enrolled in Medicare?

Yes. Jin Yun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jin Yun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Yun reassigns Medicare benefits to Kcs, Inc. (Buena Park, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jin Yun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jin Yun accept?

Health plans from Renaissance Dental list Jin Yun 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 Jin Yun was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.