Jinwoo Jeong Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JINWOO JEONG DENTAL CORPORATION

Practice address

39560 Stevenson PL Ste 219
Fremont, CA 94539-3074

Phone

(510) 794-9999

NPI assigned

Jul 17, 2026

Last updated

Jul 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jinwoo Jeong, DMDNPI 1093485815

Title

President

Phone

(847) 715-8182

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jinwoo Jeong, DMD

  • General Practice Dentistry
  • Fremont, CA
  • NPI 1093485815
  Authorized official Same address or phone
• Theodore Ryu Okazaki, DDS

  • Dentist
  • Fremont, CA
  • NPI 1700164530
  NPD (past)
• Christopher Jay Seiki, DDS

  • General Practice Dentistry
  • Fremont, CA
  • NPI 1972387413
  NPD (past)

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1801716097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38340 PRINCETON TER # 5",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381739",
            "telephone_number": "847-715-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39560 STEVENSON PL STE 219",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393074",
            "telephone_number": "510-794-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINWOO JEONG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "JINWOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-715-8182",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Yoshio Jimenez
• Roderico Jimenez, P.T.
• Kai Jing, M.D.
• Kamlesh R. Jinjuwadia, D.D.S
• Joy Jinkerson
• Jishen NA, D.D.S. Inc
• JJW Pacific Health Group LLC (Moodup Wellness)
• Jan Julius Jocson, RN
• Brenda C Joe-Matsuo, M.S., MFT
• Isabella Joe

• Dental Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.