SEON MI ROH D.D.S
NPI 1689729014
Dentist in Los Angeles, CA

Q: What is Seon Roh's NPI number?

The NPI number for Seon Roh is 1689729014. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Seon Roh'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 Seon Roh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 24, 2007PECOS Enrolled

5520 SANTA MONICA BLVD STE 104, LOS ANGELES, CA 90038(323) 962-2828 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Seon Mi Roh D.d.s NPPES

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

SEON MI ROH D.D.S (NPI 1689729014) is an individual dentist in Los Angeles, California, licensed in California (44072) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689729014

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSEON MI ROHCredential: D.D.S

Location Address5520 SANTA MONICA BLVD STE 104Los Angeles, CA 90038-4089

Mailing Address5520 Santa Monica Blvd Ste 104Los Angeles, CA 90038-4089 · (323) 962-2828

Phone(323) 962-2828

Sole ProprietorYes

Enumeration DateJanuary 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689729014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 44072

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.

5520 SANTA MONICA BLVD STE 104, Los Angeles, CA 90038

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Other Identifiers 2

OtherB44072-01CA · Denti Cal

Other6690CA · Pacific Union

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)

Seon Mi Roh 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 90038 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.

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 Seon Roh's NPI number?

The NPI number for Seon Roh is 1689729014. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Seon Roh located?

Seon Roh practices at 5520 Santa Monica Blvd Ste 104, Los Angeles, CA 90038. The listed phone number is (323) 962-2828.

What is Seon Roh's specialty?

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

Is Seon Roh enrolled in Medicare?

Yes. Seon Roh is registered in the Medicare PECOS enrollment system.

What insurance does Seon Roh 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 4 other insurers list Seon Roh 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 Seon Roh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.