J Jeon DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

J JEON DDS, INC.

Practice address

3120 S Hacienda Blvd Ste 204
Hacienda Heights, CA 91745-6305

Phone

(239) 938-6860

NPI assigned

Jan 27, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jea Young Jeon, DDSNPI 1770061558

Title

Ceo

Phone

(626) 330-4548

Specialties & licenses 1

Addresses

Other names 1

• Hacienda Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jea Young Jeon, DDS

  • Dentist
  • Hacienda Heights, CA
  • NPI 1770061558
  NPD Authorized official
• Curtis W. Cross, D.D.S.

  • General Practice Dentistry
  • Hacienda Heights, CA
  • NPI 1730344722
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1104579465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 S HACIENDA BLVD STE 204",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456305",
            "telephone_number": "626-330-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S HACIENDA BLVD STE 204",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456305",
            "telephone_number": "239-938-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J JEON DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "JEA YOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-330-4548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hacienda Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hacienda Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silvia Ibarra
• Shereen S Ibrahim
• Maly Ieng, RPH
• Viola S. Iskarous, DDS
• Emmy Islas
• Jack Shih OD a Professional Corporation
• Joyce A Jacob, SCHOOL NURSE
• Juliana Jacobs
• James Song MD a Professional Corporation
• James Y Kim D.D.S Inc

• Dental Clinic/Center in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.