Jong Um, DDS
NPI 1720492184ActiveIndividual· Dentist· Cypress, CA
Opted out of Medicare from December 2022 to December 2026. Dentist (DDS) in Cypress, California, licensed in CA, CT, NV and FL, with an NPI issued in June 2014. Part D covered 39 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1720492184 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jun 13, 2014 |
| Last updated in NPPES | May 26, 2021 |
| Certified by provider | May 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 106062 | CA |
| Dentist | 122300000X | 011496 | CT |
| Dentist | 122300000X | 6883 | NV |
| Dentist, General Practice | 1223G0001X | DN 20702 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Dec 19, 2022 – Dec 19, 2026 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 39 · 39 30-day fills |
|---|---|
| Patients | 27 |
| Total drug cost | $190.54 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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