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SE-YOUNG JEON DDS
NPI 1982126884
Dentist - General Practice in Alexandria, VA

Active since July 12, 2017PECOS Enrolled
5130 DUKE ST STE 4, ALEXANDRIA, VA 22304(703) 370-6500 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2021, Sep 19, 2017, Jul 12, 2017 (3 updates tracked since 2017).

About Se-young Jeon Dds NPPES

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

SE-YOUNG JEON DDS (NPI 1982126884) is an individual general practice provider in Alexandria, Virginia, licensed in Virginia (0401416390) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1982126884
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSE-YOUNG JEONCredential: DDS
Location Address5130 DUKE ST STE 4Alexandria, VA 22304-2955
Mailing Address4160 Calais Point CtFairfax, VA 22033-6200
Phone(703) 370-6500
Sole ProprietorNo
Enumeration DateJuly 12, 2017
Last NPPES UpdateJuly 1, 20213 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1982126884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401416390
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5130 DUKE ST STE 4, Alexandria, VA 22304
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Secondary Practice Location 1

Location 18622 Lee Hwy Ste AFairfax, VA 22031-2148 · Phone (703) 876-4600

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)

Se-young Jeon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22304 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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. OLANDO ST. CLARE HANSON OLANDO HANSON
Dentist (General Practice)
5130 DUKE ST STE 4
ALEXANDRIA, VA 22304
Alexandria City (703) 370-6500
LANDMARK DENTAL, P.C.
Dentist (General Practice)
5130 DUKE ST STE 4
ALEXANDRIA, VA 22304
Alexandria City (703) 370-6500

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 Se-young Jeon's NPI number?

The NPI number for Se-young Jeon is 1982126884. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Se-young Jeon located?

Se-young Jeon practices at 5130 Duke St Ste 4, Alexandria, VA 22304. The listed phone number is (703) 370-6500.

What is Se-young Jeon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Se-young Jeon enrolled in Medicare?

Yes. Se-young Jeon is registered in the Medicare PECOS enrollment system.

What insurance does Se-young Jeon 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 Se-young Jeon 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 Se-young Jeon was last updated on July 1, 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.