Seungho Jeong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39565 Issued in TX

Practice address

5509 Andrews Hwy
Midland, TX 79706-3233

Phone

(432) 242-5540

NPI assigned

May 29, 2023

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Midland Dental and Orthodontics, PLLC

  dba Rodeo Dental and Orthodontics

  • General Practice Dentistry
  • Midland, TX
  • NPI 1225750128
  NPD

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1447943303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 ANDREWS HWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797063233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 ANDREWS HWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797063233",
            "telephone_number": "432-242-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "SEUNGHO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gypsy Jane Jasso, MSN, APRN, FNP-C
• JB Dental Designs Inc.
• JD Durgin MD Basin Surgical PLLC
• Je Mendez, MD, PA (Midland Gynecology, Inc)
• Jennifer Mason, Med, LPC, PLLC (Intuitive Healing Therapy)
• Jeri Kounce, LPC, LLC
• Seri Jhang, DMD
• Maria Lupita Jimenez, PTA
• Marilyn S Jimenez
• JML Endeavors, LLC (LifeScript)

• General Practice Dentistry in Midland, TX
• Providers in Midland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.