Jeong Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEONG DENTAL CORPORATION

Practice address

10910 Olson Dr
Ste 100
Rancho Cordova, CA 95670-5643

Phone

(916) 638-3780

Fax

(916) 638-1062

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dong J Jeong, DDS

Title

Owner Doctor

Phone

(916) 638-3780

Specialties & licenses 1

Addresses

Other names 1

• Rancho Cordova Dental Group Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda L Boyte, DDS

  • General Practice Dentistry
  • Rancho Cordova, CA
  • NPI 1649361486
  NPD (past)
• Melanie Midori Kim, DMD

  • Dentist
  • El Dorado Hills, CA
  • NPI 1093263691
  NPD (past)
• Angel Nguyen

  • Dentist
  • Rancho Cordova, CA
  • NPI 1922844075
  NPD (past)
• Viet Nguyen, DMD

  • Dentist
  • Rancho Cordova, CA
  • NPI 1679463442
  NPD (past)
• Yun Hwan Oh, D.D.S.

  • Dentist
  • Rancho Cordova, CA
  • NPI 1689025694
  NPD (past)
• Howard C Tsoi, DMD

  • General Practice Dentistry
  • South San Francisco, CA
  • NPI 1245848332
  NPD (past)
• Wai Yin Wong

  • Dentist
  • Rancho Cordova, CA
  • NPI 1356904452
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1508994922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 OLSON DR",
            "address_2": "STE 100",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956705643",
            "telephone_number": "916-638-3780",
            "fax_number": "916-638-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEONG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "916-638-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Cordova Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James R. Beams DDS Inc
• Jessica Darlene James, CMT
• Sally Hanbi Jang
• Shynar Jeleunova
• Mila Jenkins
• Fatmeh A Jobay, NP
• Joel Dickson Chiropractic Corporation
• John O. Womach, M.D., Inc.
• Jennifer Johnson, PHARM.D.
• Satyra Johnson

• General Practice Dentistry in Rancho Cordova, CA
• Providers in Rancho Cordova, 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 Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.