Individual provider Active NPI

Joy Marie Helou, DDS

  • General Practice Dentistry
  • Glendora, CA
National Provider Identifier
1245482223
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57610 Issued in CA
Practice address
1434 S Grand Ave
Glendora, CA 91740-5400
Phone
(626) 335-7989
Fax
(626) 335-2089
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 57610 CA Primary

Addresses

Primary practice location

1434 S Grand Ave
Glendora, CA 91740-5400

Mailing address

1434 S Grand Ave
Glendora, CA 91740-5400
Phone (626) 335-7989

Other practice location 1

16098 Kamana Rd
#101
apple valley, CA 92307
Phone (760) 242-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818003180 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719292903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57610CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Helou DDS Inc CurrentSince Feb 7, 2021 Accepting new patients
Iftikhar Ali Khan, DDS, Inc PastSince Feb 7, 2021 Accepting new patients

Locations

1434 S Grand Ave
Glendora, CA 91740
Phone (626) 335-7989

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1245482223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405400",
            "telephone_number": "626-335-7989",
            "fax_number": "626-335-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405400",
            "telephone_number": "626-335-7989",
            "fax_number": "626-335-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16098 Kamana Rd",
            "address_2": "#101",
            "address_purpose": "LOCATION",
            "city": "apple valley",
            "state": "CA",
            "postal_code": "92307",
            "country_code": "US",
            "telephone_number": "760-242-2620",
            "fax_number": "760-242-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELOU",
        "first_name": "JOY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.