Organization Active NPI

Jenny Oh DDS, Apc

  • General Practice Dentistry
  • Norwalk, CA
National Provider Identifier
1124477799
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44345 Issued in CA
Legal business name
JENNY OH DDS, APC
Practice address
14102 Pioneer Blvd
Norwalk, CA 90650
Phone
(562) 864-2255
Fax
(562) 864-4099
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Jenny Oh, DDSNPI 1881808095
Title
Dentist
Phone
(562) 864-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 44345 CA Primary

Addresses

Primary practice location

14102 Pioneer Blvd
Norwalk, CA 90650

Mailing address

14102 Pioneer Blvd
Norwalk, CA 90650
Phone (562) 864-2255

Other identifiers 1

IdentifierTypeStateIssuer
B44345OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

14102 Pioneer Blvd
Norwalk, CA 90650
Phone (562) 864-2255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1124477799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14102 PIONEER BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-864-2255",
            "fax_number": "562-864-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14102 PIONEER BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-864-2255",
            "fax_number": "562-864-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY OH DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "562-864-2255",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B44345",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.