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YONG JIN SONG DMD
NPI 1659401750
Dentist - General Practice in Vancouver, WA

Active since March 07, 2007PECOS Enrolled
10009 NE HAZEL DELL AVE, VANCOUVER, WA 98685(360) 574-3070 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yong Jin Song Dmd NPPES

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

YONG JIN SONG DMD (NPI 1659401750) is an individual general practice provider in Vancouver, Washington, licensed in Oregon (D8398) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hillsboro.

NPPES Registry Identity

NPI1659401750
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameYONG JIN SONGCredential: DMD
Location Address10009 NE HAZEL DELL AVEVancouver, WA 98685
Mailing Address527 Se Baseline St Ste CHillsboro, OR 97123-4149 · (503) 648-6054 · Fax (503) 648-6099
Phone(360) 574-3070
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateJanuary 21, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1659401750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D8398
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.
Also ListedDentistTaxonomy 122300000X · License 9772 (WA)
10009 NE HAZEL DELL AVE, Vancouver, WA 98685
Open in Google Maps ↗

Secondary Practice Location 1

Location 1527 SE Baseline St Ste CHillsboro, OR 97123-4149 · Phone (503) 648-6054 · Fax (503) 648-6099

Other Identifiers 1

Medicaid5050794WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, 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)

Yong Jin Song Dmd 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 98685 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 2

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

JASMINE J. CHA D.D.S.
Dentist
10009 NE HAZEL DELL AVE
VANCOUVER, WA 98685
Clark County (213) 220-0788
WEST SIDE DENTAL
Dentist (General Practice)
10009 NE HAZEL DELL AVE
VANCOUVER, WA 98685
Clark County (360) 574-8181

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 Yong Jin Song's NPI number?

The NPI number for Yong Jin Song is 1659401750. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Yong Jin Song located?

Yong Jin Song practices at 10009 NE Hazel Dell Ave, Vancouver, WA 98685. The listed phone number is (360) 574-3070.

What is Yong Jin Song's specialty?

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

Is Yong Jin Song enrolled in Medicare?

Yes. Yong Jin Song is registered in the Medicare PECOS enrollment system.

What insurance does Yong Jin Song accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Yong Jin Song 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 Yong Jin Song was last updated on January 21, 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.