Sooho Joe,DDS,Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48473 Issued in CA

Legal business name

SOOHO JOE,DDS,INC

Practice address

51807 Harrison St Ste 102-103
Coachella, CA 92236-1524

Phone

(760) 398-9288

Fax

(760) 398-9215

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sooho Joe, DDSNPI 1629294608

Title

President

Phone

(760) 398-9288

Specialties & licenses 1

Addresses

Other names 1

• SOOHO JOE DDS INC Doing business as

Locations

Practitioners 1

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

• Sooho Joe, D.D.S.

  • General Practice Dentistry
  • Coachella, CA
  • NPI 1629294608

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1235337692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51807 HARRISON ST STE 102-103",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361524",
            "telephone_number": "760-398-9288",
            "fax_number": "760-398-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51807 HARRISON ST STE 102-103",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361524",
            "telephone_number": "760-398-9288",
            "fax_number": "760-398-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOOHO JOE,DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "JOE",
        "authorized_official_first_name": "SOOHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-398-9288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOOHO JOE DDS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maribel Silva, MA
• Serly Simonian
• Tyrone Smith
• Catherine Maria Solares Carroll, M.D.
• Sandra V Solorio
• Jaime M Soria, LMFT
• Stephen B. Lee Medical Corporation at Coachella
• Alexander Terrence Sykora, NP
• Veronica Tamayo-Rangel
• Maribel Ayon Tapia

• All providers in Coachella, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.