Active NPI
Justin Minho Jeong
- Speech-Language Assistant
- Dallas, TX
National Provider Identifier
1154124097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 2801 N Central Expy # 1150
Dallas, TX 75204-2642 - Phone
- (972) 702-0300
- NPI assigned
- Mar 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | TX | Primary |
Addresses
Primary practice location
2801 N Central Expy # 1150
Dallas, TX 75204-2642
Mailing address
1100 Meredith LN Apt 523
Plano, TX 75093-4668
Phone (945) 308-9344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1154124097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MEREDITH LN APT 523",
"city": "PLANO",
"state": "TX",
"postal_code": "750934668",
"telephone_number": "945-308-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 N CENTRAL EXPY # 1150",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042642",
"telephone_number": "972-702-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEONG",
"first_name": "JUSTIN",
"middle_name": "MINHO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-28",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.