DR. JONG UM DDS
NPI 1720492184
Dentist in Cypress, CA

Q: What is Jong Um's NPI number?

The NPI number for Jong Um is 1720492184. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Q: What is Jong Um's specialty?

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

Q: Is Jong Um enrolled in Medicare?

No. Jong Um has opted out of Medicare through December 19, 2026. 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 Jong Um was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 13, 2014Opted out of Medicare · through Dec 19, 2026

5001 CERRITOS AVE STE A, CYPRESS, CA 90630(860) 325-0022 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2021, Oct 19, 2020, Mar 29, 2018 (3 updates tracked since 2018).

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About Dr. Jong Um Dds NPPES

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

DR. JONG UM DDS (NPI 1720492184) is an individual dentist in Cypress, California, licensed in California (106062) and active in the NPI registry since June 2014. He has opted out of Medicare through December 19, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720492184

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JONG UMCredential: DDS

Location Address5001 CERRITOS AVE STE ACypress, CA 90630-4570

Mailing Address5001 Cerritos Ave Ste ACypress, CA 90630-4570 · (860) 325-0022

Phone(860) 325-0022

Sole ProprietorNo

Enumeration DateJune 13, 2014

Last NPPES UpdateMay 26, 20213 updates tracked since enumeration

NPPES CertifiedMay 26, 2021

✔ NPI 1720492184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · 106062✔ Licensed in CT · 011496✔ Licensed in NV · 6883

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN 20702 (FL)

5001 CERRITOS AVE STE A, Cypress, CA 90630

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Jong Um Dds 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 December 19, 2022 through December 19, 2026.

Opt-Out Effective DateDecember 19, 2022

Opt-Out In Effect ThroughDecember 19, 2026Opt-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 90630 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 3

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

DR. KI M UM DDS

Dentist

5001 CERRITOS AVE STE A
CYPRESS, CA 90630

Orange County (347) 688-6560

J UM DDS CYPRESS

Clinic/Center (Dental)

5001 CERRITOS AVE STE A
CYPRESS, CA 90630

Orange County (860) 491-6972

DR. JOHN SEONG KIM DDS

Dentist (General Practice)

5001 CERRITOS AVE STE A
CYPRESS, CA 90630

Orange County (714) 821-6171

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 Jong Um's NPI number?

The NPI number for Jong Um is 1720492184. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Jong Um located?

Jong Um practices at 5001 Cerritos Ave Ste A, Cypress, CA 90630. The listed phone number is (860) 325-0022.

What is Jong Um's specialty?

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

Is Jong Um enrolled in Medicare?

No. Jong Um has opted out of Medicare through December 19, 2026. 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.

What insurance does Jong Um accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Jong Um 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 Jong Um was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.