DR. CRAIG JEONG D.D.S
NPI 1639546112
Dentist in San Dimas, CA

Q: What is Craig Jeong's NPI number?

The NPI number for Craig Jeong is 1639546112. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Q: What is Craig Jeong'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 Craig Jeong was last updated on August 31, 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 31, 2015PECOS Enrolled

1075 VIA VERDE, SAN DIMAS, CA 91773(909) 599-8331 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Craig Jeong D.d.s NPPES

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

DR. CRAIG JEONG D.D.S (NPI 1639546112) is an individual dentist in San Dimas, California, licensed in California (63595) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639546112

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CRAIG JEONGCredential: D.D.S

Location Address1075 VIA VERDESan Dimas, CA 91773-4347

Mailing Address1075 Via VerdeSan Dimas, CA 91773-4347 · (909) 599-8331

Phone(909) 599-8331

Sole ProprietorYes

Enumeration DateAugust 31, 2015

✔ NPI 1639546112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 63595

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.

1075 VIA VERDE, San Dimas, CA 91773

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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. Craig Jeong 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 91773 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.

RAMIREZ PEDIATRIC DENTAL CORP

Dentist (Pediatric Dentistry)

1075 VIA VERDE
SAN DIMAS, CA 91773

Los Angeles County (626) 616-6710

DR. KIMBERLY J FOON D.D.S.

Dentist

1075 VIA VERDE
SAN DIMAS, CA 91773

Los Angeles County (909) 599-8331

DR. CORINA RAMIREZ DDS

Dentist (Pediatric Dentistry)

1075 VIA VERDE
SAN DIMAS, CA 91773

Los Angeles County (909) 305-0642

DR. BENNETT C. JEONG DDS

Dentist (General Practice)

1075 VIA VERDE
SAN DIMAS, CA 91773

Los Angeles County (909) 599-8331

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 Craig Jeong's NPI number?

The NPI number for Craig Jeong is 1639546112. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Craig Jeong located?

Craig Jeong practices at 1075 Via Verde, San Dimas, CA 91773. The listed phone number is (909) 599-8331.

What is Craig Jeong's specialty?

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

Is Craig Jeong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Craig Jeong was last updated on August 31, 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.