Active NPI
Taylor Jieun Jung, MD, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 34880
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| D-0007005-C | AL | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 35599 | OK | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral and Maxillofacial Surgery Associates | Oral and Maxillofacial Surgery | Current | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Montgomery, AL
- NPI 1043311392
-
- Oral and Maxillofacial Surgery (Dentist)
- Ennis, TX
- NPI 1518389212
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.