Active NPI
Jee Yun Jeong
- Dentist
- Apex, NC
National Provider Identifier
1831614601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10791
- Practice address
- 501 N Salem St Ste 105
Apex, NC 27502-2315 - Phone
- (919) 355-5123
- NPI assigned
- Aug 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10791 | NC | Primary |
Addresses
Primary practice location
501 N Salem St Ste 105
Apex, NC 27502-2315
Mailing address
1751 Martin Luther King Jr Blvd Apt 303
Chapel Hill, NC 27514-1975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10791 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502582400000",
"number": "1831614601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 MARTIN LUTHER KING JR BLVD APT 303",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N SALEM ST STE 105",
"city": "APEX",
"state": "NC",
"postal_code": "275022315",
"telephone_number": "919-355-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEONG",
"first_name": "JEE YUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-13",
"last_updated": "2017-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.