Daniel James Jo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64087 Issued in CA

Practice address

12657 166TH St
Cerritos, CA 90703-2101

Phone

(562) 926-6502

NPI assigned

Nov 11, 2014

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: djo170249@direct.ochin.org

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

• Guerguis Professional Dental, Inc.

  • Dental Clinic/Center
  • Cerritos, CA
  • NPI 1578024691
  NPD (past)

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1003212549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25802 SUNRISE WAY",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543846",
            "telephone_number": "714-261-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12657 166TH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032101",
            "telephone_number": "562-926-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JO",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Jimenez
• Esther Jimenez
• Calvin Jin
• Jirawan Srivivatanakul D.D.S., Inc.
• JK Prorehab Inc
• Joa Acupuncture Inc
• Angela Joelle, M.S., CCC-SLP
• Anne C Johansen, PHD MFCC
• Ian Thomas Johansen, PH.D.
• Robert N Johansen, PHD

• General Practice Dentistry in Cerritos, CA
• Providers in Cerritos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.