Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jong Keun Oh , DDS

Dentist - General Practice • Fort Worth, TX

Active NPI 1205191533 Individual Practitioner Male Practitioner
Practice location in NPPES

1124 S Lake St Ste C
Fort Worth, TX 761044313

Call 8173329393 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1124 S Lake St Ste C

Fort Worth, TX 761044313

Telephone 8173329393

30-day fills

32 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$204 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $11.30 in 2020

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2020.

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Worth and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Dentist - General Practice in Fort Worth, TX (2024, 130 clinicians with data). Median for this group: 36. Middle half: 18 to 73.

Close to the middle for clinicians listed under Dentist - General Practice in Texas (2024, 4,654 clinicians with data). Median for this group: 42. Middle half: 21 to 88.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Dentist - General Practice in Fort Worth, TX (2024, 130 clinicians with data). Median for this group: $106. Middle half: $49 to $243.

A higher Part D drug cost than 60% of clinicians listed under Dentist - General Practice in Texas (2024, 4,654 clinicians with data). Median for this group: $126. Middle half: $57 to $299.

279 active clinicians are listed under Dentist - General Practice with a practice address in Fort Worth, TX (10,075 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Worth

0% of these 279 clinicians have the CMS telehealth indicator.

0.4% of these 279 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2020
Disclosure Year:

Program year 2020 (payments made January 1 – December 31, 2020): fewer than 11 records totaling $11.30.

Manufacturer Payment Nature Product Type Amount ($)
Philips Electronics North America Corporation
Food and Beverage
Cash or cash equivalent
(8027) Other General $11.30

Source: CMS Open Payments, program year 2020, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 18 180 $179.89 14
Amoxicillin Amoxicillin 14 73 $23.87 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES TX 34658

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES PA DS039396

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019029165

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WI 7003-15

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
📍
Updated Business Mailing Address November 16, 2019

Registered at 1124 S LAKE ST STE C, FORT WORTH, TX 761044313 (Tel: 8173329393)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2019

Dentist (license number reported to NPPES: TX 34658)

📍
Updated Practice Location November 05, 2019

Registered at 1124 S LAKE ST STE C, FORT WORTH, TX 761044313 (Tel: 8173329393)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2019

Dentist (license number reported to NPPES: PA DS039396)

📍
Updated Practice Location June 23, 2019

Registered at 906 W ABRAM ST, ARLINGTON, TX 760136912 (Tel: 3314573151)

📍
Updated Business Mailing Address June 23, 2019

Registered at 441 COLUMBIA CT, PROSPER, TX 750788525 (Tel: 3314573151)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2019

Dentist (license number reported to NPPES: WI 7003-15)

📍
Updated Practice Location April 02, 2019

Registered at 303 E OVERTON RD, DALLAS, TX 752165946 (Tel: 2143075671)

📍
Updated Business Mailing Address April 02, 2019

Registered at 303 E OVERTON RD, DALLAS, TX 752165946 (Tel: 2143075671)

👤
Provider Name / Credentials Updated April 02, 2019

Recorded as JONG KEUN OH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Dentist (license number reported to NPPES: TX 34658)

âś…
NPI Profile Active September 01, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) September 01, 2014

Registered at 545 E JOHNSON ST, FOND DU LAC, WI 549352856 (Tel: 9209249090)

📍
Business Mailing Address (Initial Record) September 01, 2014

Registered at 545 E JOHNSON ST, FOND DU LAC, WI 549352856 (Tel: 9209249090)

👤
Provider Name / Credentials (Initial Record) September 01, 2014

Recorded as JONG OH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2014

Dentist (license number reported to NPPES: WI 7003-15)

🟢
Initial NPI Registration & Enumeration July 12, 2012

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1205191533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2012
Last Update: November 16, 2019
Sole Proprietor: Yes

Other Dentist - General Practices in Fort Worth

All Dentist - General Practices in Fort Worth

Mailing Address

1124 S Lake St Ste C

Fort Worth, TX 761044313

Phone: 8173329393

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.