Active NPI
Christopher Hyojae Jeon, D.D.S.
- Dentist
- Napa, CA
National Provider Identifier
1891189452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64330
- Practice address
- 1000 Professional Dr
Napa, CA 94558-6410 - Phone
- (707) 252-7733
- Fax
- (707) 252-4369
- NPI assigned
- Mar 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 64330 | CA | Primary |
Addresses
Primary practice location
1000 Professional Dr
Napa, CA 94558-6410
Mailing address
1000 Professional Dr
Napa, CA 94558-6410
Phone (707) 252-7733
Other names 1
- Hyo Jae Christopher Jeon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026000508 | CA | Order and Referring Only - Dentist | 5294013272 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Jeon DDS, Inc | Current | Accepting new patients | |
| Erick N. Cuenca DMD Inc | Past | Accepting new patients |
Locations
1000 Professional Dr
Napa, CA 94558
Phone (707) 252-7733
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Napa, CA
- NPI 1710657283
-
- General Practice Dentistry
- Rohnert Park, CA
- NPI 1811107311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1891189452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PROFESSIONAL DR",
"city": "NAPA",
"state": "CA",
"postal_code": "945586410",
"telephone_number": "707-252-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PROFESSIONAL DR",
"city": "NAPA",
"state": "CA",
"postal_code": "945586410",
"telephone_number": "707-252-7733",
"fax_number": "707-252-4369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEON",
"first_name": "CHRISTOPHER",
"middle_name": "HYOJAE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-22",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HYO JAE",
"last_name": "JEON",
"middle_name": "CHRISTOPHER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.