1. Home
  2. Directory
  3. California
  4. Downey
  5. Dentist
  6. NPI Profile

DR. JETTIE UYANNE DDS
NPI 1972681104
Dentist - Oral and Maxillofacial Surgery in Downey, CA

Active since November 02, 2006PECOS Enrolled
9474 FIRESTONE BLVD, SMILE CARE, DOWNEY, CA 90241(562) 803-4224 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jettie Uyanne Dds NPPES

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

DR. JETTIE UYANNE DDS (NPI 1972681104) is an individual oral and maxillofacial surgery provider in Downey, California, licensed in California (53660) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972681104
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JETTIE UYANNECredential: DDS
Location Address9474 FIRESTONE BLVD, SMILE CAREDowney, CA 90241
Mailing Address12640 Beach StreetCerritos, CA 90703 · (562) 802-7979 · Fax (562) 802-7979
Phone(562) 803-4224
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972681104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 53660
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9474 FIRESTONE BLVD, Downey, CA 90241
Open in Google Maps ↗

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jettie Uyanne Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Jettie Uyanne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles
7.5 mi
Clinic/Center
1670 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group
NPI 1780877613 (310) 668-5201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90241 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 8

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

COMMUNITY DENTAL SERVICES
Dentist
9474 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 803-4224
ROANNA SIANGIO DMD
Dentist
9474 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 803-4224
JWCH INSTITUTE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
9474 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (323) 201-4516
DR. HANNAH SHEPHERD EHRENREICH D.D.S.
Dentist (General Practice)
9474 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 803-4224
SOROUR DMD DENTAL GROUP CORP
Dentist
9474 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 803-4224
BARRY CHIANG DDS
Dentist (Endodontics)
9474 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 803-4224
DR. WENDY WONG D.D.S.
Dentist (General Practice)
9474 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 803-4224
MR. ALI MOTAMED RIAZI DDS
Dentist
9474 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 803-4224

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 Jettie Uyanne's NPI number?

The NPI number for Jettie Uyanne is 1972681104. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Jettie Uyanne located?

Jettie Uyanne practices at 9474 Firestone Blvd Smile Care, Downey, CA 90241. The listed phone number is (562) 803-4224.

What is Jettie Uyanne's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jettie Uyanne enrolled in Medicare?

Yes. Jettie Uyanne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jettie Uyanne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jettie Uyanne reassigns Medicare benefits to County Of Los Angeles (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jettie Uyanne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jettie Uyanne accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jettie Uyanne 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 Jettie Uyanne 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.