Jae Kwon Bok DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JAE KWON BOK DDS PC

Practice address

7535 Little River Tpke
100-E
Annandale, VA 22003-2937

Phone

(703) 956-6222

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Jae Bok

Title

President

Phone

(703) 956-6222

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jae Kwon Bok

  • General Practice Dentistry
  • Annandale, VA
  • NPI 1487756441
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1164692448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 LITTLE RIVER TPKE",
            "address_2": "#100-E",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032937",
            "telephone_number": "703-956-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 LITTLE RIVER TPKE",
            "address_2": "100-E",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032937",
            "telephone_number": "703-956-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE KWON BOK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BOK",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-956-6222"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Daniel Labriola DDS and David J Cantor DMD PC
• Pharrodah Jackson, LPN
• Rochelle P Jackson, M.D.
• Deborah Jacobs, M.S.W.
• Jennifer Jacobs
• Sharon A Jaeckel, PT
• Aabha Jain, M.D.
• Idil A Jama
• Nadia Jamai
• Kayla James, MD

• Dentist in Annandale, VA
• Providers in Annandale, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.