Individual provider Active NPI

Christopher Hyojae Jeon, D.D.S.

  • Dentist
  • Napa, CA
National Provider Identifier
1891189452
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64330 Issued in CA
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

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026000508 CA Order and Referring Only - DentistPractitioner - Dentist 5294013272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Jeon DDS, Inc CurrentSince Sep 23, 2021 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.

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

Verify at the official NPI Registry.