Individual provider Active NPI

Soojin Oh, D,D,S

  • Dentist
  • Loma Linda, CA
National Provider Identifier
1306127238
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60651 Issued in CA
Practice address
11262 Exeter St
Apt. D
Loma Linda, CA 92354-3049
Phone
(951) 907-3500
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60651 CA Primary

Addresses

Primary practice location

11262 Exeter St
Apt. D
Loma Linda, CA 92354-3049

Mailing address

11262 Exeter St
Apt. D
Loma Linda, CA 92354-3049
Phone (951) 907-3500

Other identifiers 1

IdentifierTypeStateIssuer
60651OtherCADENTAL BOARD OF CALIFORNIA

Other names 1

  • Kate Oh Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1306127238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11262 EXETER ST",
            "address_2": "APT. D",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543049",
            "telephone_number": "951-907-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11262 EXETER ST",
            "address_2": "APT. D",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543049",
            "telephone_number": "951-907-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "SOOJIN",
        "credential": "D,D,S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "60651",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "OH",
            "credential": "D,D,S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.