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Active NPI 1356571442 Individual Practitioner Male Practitioner

Dr. Jiwon Jung , DDS

Dentist - General Practice • Westminster, CO

Professional Overview & Biography Verified Profile Summary

Dr. Jiwon Jung, DDS is a registered healthcare professional specializing in Dentist - General Practice in Westminster, CO. Practice services are available at 2861 W 120TH AVE STE 230 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2861 W 120th Ave Ste 230

Westminster, CO 802342985

Telephone 7203348779
Fax 7208636863
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Westminster, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
56 Specialists

Practicing in Westminster, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 10126

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1023360492 (CO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 22, 2025

Registered at 2861 W 120TH AVE STE 230, WESTMINSTER, CO 802342985 (Tel: 7203348779)

📍
Updated Business Mailing Address September 22, 2025

Registered at 2861 W 120TH AVE STE 230, WESTMINSTER, CO 802342985 (Tel: 7203348779)

👤
Provider Name / Credentials Updated September 22, 2025

Recorded as JIWON JUNG, D.D.S

NPI Profile Active October 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2012

Registered at 13640 ORCHARD PKWY, SUITE 150, WESTMINSTER, CO 800239255 (Tel: 7203348779)

📍
Updated Business Mailing Address October 10, 2012

Registered at 13640 ORCHARD PKWY, SUITE 150, WESTMINSTER, CO 800239255 (Tel: 7203348779)

👤
Provider Name / Credentials Updated October 10, 2012

Recorded as JI WON JUNG, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2012

Dentist (License #10126 in CO)

🟢
Initial NPI Registration & Enumeration July 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356571442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2009
Last Update: September 22, 2025
Sole Proprietor: Yes

Mailing Address

2861 W 120th Ave Ste 230

Westminster, CO 802342985

Phone: 7203348779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.