DR. JEREMY KAORU UENO D.M.D.
NPI 1659507432
Dentist - Periodontics in Campbell, CA

Q: What is Jeremy Ueno's NPI number?

The NPI number for Jeremy Ueno is 1659507432. It was assigned to this individual provider in the NPPES registry on June 6, 2009.

Q: What is Jeremy Ueno's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Jeremy Ueno enrolled in Medicare?

No. Jeremy Ueno has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Ueno was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 06, 2009Opted out of Medicare · through Apr 2, 2028

2160 S BASCOM AVE, SUITE #1, CAMPBELL, CA 95008(408) 371-7616(408) 371-7651 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jeremy Kaoru Ueno D.m.d. NPPES

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

DR. JEREMY KAORU UENO D.M.D. (NPI 1659507432) is an individual periodontics provider in Campbell, California, licensed in California (58308) and active in the NPI registry since June 2009. He has opted out of Medicare through April 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659507432

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. JEREMY KAORU UENOCredential: D.M.D.

Location Address2160 S BASCOM AVE, SUITE #1Campbell, CA 95008-3294

Mailing Address2160 S Bascom Ave, Suite #1Campbell, CA 95008-3294 · (408) 371-7616 · Fax (408) 371-7651

Phone(408) 371-7616

Fax(408) 371-7651

Sole ProprietorYes

Enumeration DateJune 6, 2009

Last NPPES UpdateJanuary 13, 2017

✔ NPI 1659507432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 58308

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2160 S BASCOM AVE, Campbell, CA 95008

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jeremy Kaoru Ueno D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2026 through April 2, 2028.

Opt-Out Effective DateApril 2, 2026

Opt-Out In Effect ThroughApril 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95008 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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 2

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

DR. JOYCE M LITCH DDS MSD

Dentist (Periodontics)

2160 S BASCOM AVE, #1
CAMPBELL, CA 95008

Santa Clara County (408) 371-7616

SUSAN QUAN RDH

Dental Hygienist

2160 S BASCOM AVE
CAMPBELL, CA 95008

Santa Clara County (408) 371-7616

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 Jeremy Ueno's NPI number?

The NPI number for Jeremy Ueno is 1659507432. It was assigned to this individual provider in the NPPES registry on June 6, 2009.

Where is Jeremy Ueno located?

Jeremy Ueno practices at 2160 S Bascom Ave Suite #1, Campbell, CA 95008. The listed phone number is (408) 371-7616.

What is Jeremy Ueno's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jeremy Ueno enrolled in Medicare?

No. Jeremy Ueno has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeremy Ueno was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.