Jun Yong Jeong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

112548 Issued in CA

Practice address

777 Cuesta Dr Ste 140
Mountain View, CA 94040-3765

Phone

(628) 235-3690

NPI assigned

Feb 27, 2024

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

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

• Jun Yong Jeong DDS Inc

  • Dental Clinic/Center
  • Mountain View, CA
  • NPI 1861318339
  NPD (past) Authorized official

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1467218453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 POPPY WAY",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145306",
            "telephone_number": "628-235-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CUESTA DR STE 140",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403765",
            "telephone_number": "628-235-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "JUN YONG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Gordon, M.D. PH.D., Inc.
• Jenifer E L Webb OD, Inc. (Shoreline Optometry)
• Meagan Jennings, DPM
• Dana Jens, BA
• Richard Jensen, DPM
• Jeremy Chin, O.D.
• Jerry Manoukian M.D. a Medical Corporation
• Nathan Jetter, MD
• Ella Jevtic
• Mengxi Ji, MD

• General Practice Dentistry in Mountain View, CA
• Providers in Mountain View, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; 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.