Joanna Song

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

35952 Issued in TX

Practice address

2540 FM 2920 Rd Ste H
Spring, TX 77388-3672

Phone

(281) 937-2540

NPI assigned

May 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Zane K. Haider DMD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spring, TX
  • NPI 1407307796
  NPD (past)

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1275155665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18715 S COLONY SHORE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332485",
            "telephone_number": "617-833-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 FM 2920 RD STE H",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883672",
            "telephone_number": "281-937-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "35952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Sombito, LOA, BOCO
• Noah Dwayne Somerville
• Sommers Counseling PLLC
• Victor Kyle Sommers, LPC
• Iris Son
• Crystal Winona Sorensen Morris, D.D.S.
• Margarita Soriano, FNP-C
• Maria A Sosa, MD
• Kouhede Sossou
• Alexandria Ariel-Deshay Sostand

• Orthodontics and Dentofacial Orthopedics Dentistry in Spring, TX
• Providers in Spring, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.