Shinyeong Jeong, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

W7045 Issued in TX

Practice address

3321 Colorado Blvd
Denton, TX 76210-6817

Phone

(940) 382-9429

Fax

(940) 387-2426

NPI assigned

Apr 22, 2021

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: shinyeong.jeong@hca9.eclinicaldirectplus.com

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1609458363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106817",
            "telephone_number": "940-382-9429",
            "fax_number": "940-387-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106817",
            "telephone_number": "940-382-9429",
            "fax_number": "940-387-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "SHINYEONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "W7045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Jeffrey, LMFT
• Jelani Angels Healthcare, Inc
• Jungyu Esther Jenke, FNP
• Jennifer Polen
• Adrienne Douglas Jennings, D.D.S.
• Jerome P. Lisk, M.D., Inc.
• Jerry Petty Counseling PLLC
• Jason Christopher Jessup, PT, MS
• Meredith Ashley Jessup, LCSW
• Jesline Sara Jestine, APRN; FNP-C

• Surgery Physician in Denton, TX
• Providers in Denton, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.