Jea Young Jeon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

102918 Issued in CA

Practice address

3120 S Hacienda Blvd Ste 204
Hacienda Heights, CA 91745-6305

Phone

(239) 938-6860

NPI assigned

Aug 2, 2018

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• J Jeon DDS, Inc.

  • Dental Clinic/Center
  • Hacienda Heights, CA
  • NPI 1104579465
  NPD Authorized official
• Curtis W. Cross, D.D.S.

  • General Practice Dentistry
  • Hacienda Heights, CA
  • NPI 1922263268
  NPD (past)
• Jonathan S. Won DDS Inc

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1346482759
  NPD (past)
• Won J DDS Dental, Inc.

  • Dentist
  • Palmdale, CA
  • NPI 1700372679
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1770061558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 S HACIENDA BLVD STE 204",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456305",
            "telephone_number": "626-330-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S HACIENDA BLVD STE 204",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456305",
            "telephone_number": "239-938-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "JEA YOUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Shih OD a Professional Corporation
• Joyce A Jacob, SCHOOL NURSE
• Juliana Jacobs
• James Song MD a Professional Corporation
• James Y Kim D.D.S Inc
• Wilson Jian
• Zongliang Jiang
• Christopher Bryan Jimenez
• Evette Jimenez
• Hong Jin, L.AC.

• Dentist in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.