Individual provider Active NPI

Seo Kyung Oh, DDS

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1285280131
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104295 Issued in CA
Practice address
500 N Central Ave Ste 760
Glendale, CA 91203-3344
Phone
(818) 240-3368
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 104295 CA Primary

Addresses

Primary practice location

500 N Central Ave Ste 760
Glendale, CA 91203-3344

Mailing address

500 N Central Ave Ste 760
Glendale, CA 91203-3344
Phone (818) 240-3368

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

LicenseStateTypeSpecialty
104295CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Seo Kyung Oh DDS, Inc CurrentSince Mar 5, 2023 Accepting new patients
Gary S. Finer, DDS Inc. PastSince Mar 5, 2023 Accepting new patients
Kyung H Choi D.D.S. Inc. General Practice PastSince Jan 1, 2021 Accepting new patients

Locations

500 N Central Ave
Ste 760
Glendale, CA 91203
Phone (818) 240-3368

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1285280131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 760",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033344",
            "telephone_number": "818-240-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 760",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033344",
            "telephone_number": "818-240-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "SEO KYUNG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.