Active NPI
Joowon Oh
- Dentist
- Centreville, VA
National Provider Identifier
1174410153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401419554
- Practice address
- 14001C Franklin Fox Dr
Centreville, VA 20121-4800 - Phone
- (703) 606-7988
- NPI assigned
- Jun 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401419554 | VA | Primary |
Addresses
Primary practice location
14001C Franklin Fox Dr
Centreville, VA 20121-4800
Mailing address
14001C Franklin Fox Dr
Centreville, VA 20121-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419554 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750464000000",
"number": "1174410153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001C FRANKLIN FOX DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201214800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001C FRANKLIN FOX DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201214800",
"telephone_number": "703-606-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "JOOWON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-21",
"last_updated": "2025-06-21",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401419554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.