Organization Active NPI

Glenda Joson DDS Professional Corporation

  • General Practice Dentistry
  • San Dimas, CA
National Provider Identifier
1255598710
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51944 Issued in CA
Legal business name
GLENDA JOSON DDS PROFESSIONAL CORPORATION
Practice address
1301 W Arrow Hwy
Suite 120
San Dimas, CA 91773-2330
Phone
(909) 592-8338
Fax
(909) 592-8332
NPI assigned
May 21, 2008
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. Glenda M. Joson, DDSNPI 1548337983
Title
President
Phone
(626) 375-5860

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 Dentistry 1223G0001X 51944 CA Primary

Addresses

Primary practice location

1301 W Arrow Hwy
Suite 120
San Dimas, CA 91773-2330

Mailing address

897 San Marcus LN
Duarte, CA 91010-2319

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1255598710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 SAN MARCUS LN",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W ARROW HWY",
            "address_2": "SUITE 120",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732330",
            "telephone_number": "909-592-8338",
            "fax_number": "909-592-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDA JOSON DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "JOSON",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-375-5860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.