Nina Mi Hyun Oh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855978 Issued in MA

Practice address

1201 Main St
Tewksbury, MA 01876-4774

Phone

(978) 851-2621

NPI assigned

Aug 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Family Dental Care, PLLC

  • Dentist
  • Tewksbury, MA
  • NPI 1336563568
  Authorized official Same address or phone

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1003163619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SELFRIDGE RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302021",
            "telephone_number": "617-529-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764774",
            "telephone_number": "978-851-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "NINA",
        "middle_name": "MI HYUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855978",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Mary O'Connell, LICSW
• Michael T O'Connell, M.D.
• Jean R O'Farrell, RN/NP
• Oakwell Home Care LLC
• Igoche John Obute
• Suzanne Maria Ohara
• Joshua Okello
• Holly Oleary
• Om Sai Health LLC (BrightStar Care of Action / Andover and Lowell)
• One Nation Home Healthcare Services LLC

• General Practice Dentistry in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.