Jeong Ho Seo, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE61155736 Issued in WA

Practice address

7900 S J Stock Rd
Tucson, AZ 85746-7012

Phone

(520) 295-2575

NPI assigned

Jul 23, 2014

Last updated

May 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ton San Xavier Health Center

  dba San Xavier Health Center

  • Federal Public Health Clinic/Center
  • Tucson, AZ
  • NPI 1437157302

  TX

  Medicare reassignment NPD
• Ton Sells Hospital

  dba Sells Hospital

  • Public Health or Welfare Agency
  • Sells, AZ
  • NPI 1487652426

  TX

  Medicare reassignment NPD
• Seo and Seo, DMD, PLLC

  • Pediatric Dentistry
  • Lynnwood, WA
  • NPI 1245953637
  NPD Authorized official
• Ton San Xavier Health Center

  dba Ton San Xavier Health Center Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Tucson, AZ
  • NPI 1518905793
  NPD (past)
• Ton Sells Hospital

  dba Ton Sells Hospital Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Sells, AZ
  • NPI 1699717785
  NPD (past)

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1174931133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-295-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "JEONG HO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D009986",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE61155736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sensekrit RPM
• Mackenna Senti, MD
• Sentinel Behavioral Consulting
• Sentinel Peak Healthcare LLC (Casas Adobes Post Acute Rehabilitation Center)
• Hojin Seo, DO
• Christopher Peter Sepanski, D.C.
• Dustin James Sepich, M.D.
• Caroline Vogelei Sepp, PHARMD
• Ruth Seppala, RN, MSN, FNP
• Jay Edwin Seppanen, LPC

• Pediatric Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.