Organization Active NPI

Jinwoo Jeong Dental Corporation

  • Dental Clinic/Center
  • Fremont, CA
National Provider Identifier
1801716097
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Jinwoo Jeong, DMD
Title
President
Phone
(847) 715-8182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

39560 Stevenson PL Ste 219
Fremont, CA 94539-3074

Mailing address

38340 Princeton Ter # 5
Fremont, CA 94538-1739
Phone (847) 715-8182

National Provider Directory

National Provider Directory

Locations

39560 Stevenson Pl
Ste 219
Fremont, CA 94539
Phone (510) 794-9999

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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": []
}

Other providers in Fremont, CA

Sources for this page

  • 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.