Joshua Jaekwang Jeon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1239 Issued in AK

Practice address

8840 Old Seward Hwy Ste F
Anchorage, AK 99515

Phone

(907) 333-6666

Fax

(907) 333-3390

NPI assigned

Jun 21, 2007

Sex

Male

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 AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Btydental Group, LLC

  • Dentist
  • Anchorage, AK
  • NPI 1013257690
  NPD (past) Authorized official
• Glacier Dental, LLC

  dba Dr. Jeon's Implant Dentistry

  • Dental Clinic/Center
  • Anchorage, AK
  • NPI 1093042194

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1861698466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 OLD SEWARD HWY STE F",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-333-6666",
            "fax_number": "907-333-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 OLD SEWARD HWY STE F",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-333-6666",
            "fax_number": "907-333-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "JOSHUA",
        "middle_name": "JAEKWANG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Jensen
• Loren J Jensen, MD
• Nathan Jensen, PHARMD
• Peter Jensen, M.D.
• Sheila Jensen, CRNA
• Brian Mathew Jeppesen, M.D.
• John Keith Jeppson, DDS
• Jerry C Hu (Dba Sky LLC)
• Jerry M. Orren MD Apc
• Katherine Patricia Jerue

• General Practice Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.