Jihyon Jeong, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS038095 Issued in PA

Practice address

102 N Main St
North Wales, PA 19454-3115

Phone

(215) 699-9698

Fax

(215) 699-1141

NPI assigned

Jul 1, 2009

Sex

Female

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 PA

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

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1952539645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543115",
            "telephone_number": "215-699-9698",
            "fax_number": "215-699-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543115",
            "telephone_number": "215-699-9698",
            "fax_number": "215-699-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "JIHYON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Cooke,LCSW,Acsw,LLC
• Jennifer Lynn Jeffers, MS, LPC
• Jeffrey L. Varner
• Hannah Marie Jehring, RD, LD
• David Walter Jenkins, DC
• Pilseog Jeong, D.C.
• Devni Parimal Jobanputra, DPT, PT
• Maya Jog
• Jaclyn Jones, RDN
• Skylar A Josephsen

• Dentist in North Wales, PA
• Providers in North Wales, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.