Philip Jo, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

48472 Issued in CA

Practice address

5225 Canyon Crest Dr Ste 209
Riverside, CA 92507-6323

Phone

(951) 686-7777

NPI assigned

Mar 1, 2011

Sex

Male

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

Locations

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.

• Craig Merrihew, DDS, a Professional Corporation

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1528798147
  NPD

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1316245244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CLOUDBREAK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181153",
            "telephone_number": "909-435-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DR STE 209",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076323",
            "telephone_number": "951-686-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JO",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jkim Nursing, Inc
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• JMC Pharmacy, Inc.
• JMDK Healthcare LLC
• Jerine Francillia Jno-Charles
• Stephanie Yun-Ji Jo
• Joa Corporation
• Roshni Jogin, DO
• John Hoang Physician Assistant Corporation
• John J. Kane, M.D.,Inc

• Endodontics in Riverside, CA
• Providers in Riverside, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.