Individual provider Active NPI

Taylor Jieun Jung, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Irving, TX
National Provider Identifier
1336568823
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
34880 Issued in TX
Practice address
2727 N O Connor Rd
Irving, TX 75062-5650
Phone
(972) 594-7414
Fax
(469) 699-8838
NPI assigned
Apr 10, 2014
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 34880 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X D-0007005-C AL
Surgery Physician 208600000X 35599 OK

Addresses

Primary practice location

2727 N O Connor Rd
Irving, TX 75062-5650

Mailing address

2727 N O Connor Rd
Irving, TX 75062-5650
Phone (972) 594-7414

Other practice location 1

2200 W Ennis Ave Ste B
Ennis, TX 75119-8005
Phone (972) 875-7616

Other practice location 2

2101 N Belt Line Rd Ste B
Mesquite, TX 75150-5818
Phone (972) 270-6617

Other names 1

  • Taylor Jieun Northern Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20221116000364 AL Practitioner - Oral Surgery 7618272808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Maxillofacial Surgery AssociatesGroup PAC ID 9335162478, 4 clinicians

Practice addresses (Care Compare)

7200 Halcyon Summit Dr
Montgomery, AL 36117-7047
Phone (334) 277-3492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D-0007005-CALMDOral & Maxillofacial Surgery (D.M.D.)
35599OKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgery Associates Oral and Maxillofacial Surgery CurrentSince Nov 2, 2022 Accepting new patients
DFW Oral and Maxillofacial Surgery Ennis, LLC Oral and Maxillofacial Surgery Past Accepting new patients

Locations

7200 Halcyon Summit Dr
Montgomery, AL 36117
Phone (334) 277-3492

620 McQueen Smith Rd N
Prattville, AL 36066
Phone (334) 358-0052

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1336568823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N O CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625650",
            "telephone_number": "972-594-7414",
            "fax_number": "469-699-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N O CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625650",
            "telephone_number": "972-594-7414",
            "fax_number": "469-699-8838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 W Ennis Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751198005",
            "country_code": "US",
            "telephone_number": "972-875-7616",
            "fax_number": "469-669-9883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 N Belt Line Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751505818",
            "country_code": "US",
            "telephone_number": "972-270-6617",
            "fax_number": "469-699-8838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "TAYLOR",
        "middle_name": "JIEUN",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "34880",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AL",
            "license": "D-0007005-C",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "35599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "NORTHERN",
            "middle_name": "JIEUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.