DR. JAEEUN JEONG
NPI 1922403815
Dentist in Los Angeles, CA

Active since November 04, 2014PECOS Enrolled
3530 WILSHIRE BLVD STE 150, LOS ANGELES, CA 90010(213) 739-2828 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jaeeun Jeong NPPES

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

DR. JAEEUN JEONG (NPI 1922403815) is an individual dentist in Los Angeles, California, licensed in California (63942) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922403815
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JAEEUN JEONG
Location Address3530 WILSHIRE BLVD STE 150Los Angeles, CA 90010-2324
Mailing Address3530 Wilshire Blvd Ste 150Los Angeles, CA 90010-2324 · (213) 739-2828
Sole ProprietorYes
Enumeration DateNovember 4, 2014
Last NPPES UpdateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
NPI 1922403815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 63942
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.

3530 WILSHIRE BLVD STE 150, Los Angeles, CA 90010

Accepted 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)

Dr. Jaeeun Jeong 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 90010 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 Jaeeun Jeong's NPI number?

The NPI number for Jaeeun Jeong is 1922403815. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Jaeeun Jeong located?

Jaeeun Jeong practices at 3530 Wilshire Blvd Ste 150, Los Angeles, CA 90010. The listed phone number is (213) 739-2828.

What is Jaeeun Jeong's specialty?

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

Is Jaeeun Jeong enrolled in Medicare?

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

What insurance does Jaeeun Jeong 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 5 other insurers list Jaeeun Jeong 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 Jaeeun Jeong was last updated on October 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.