Active NPI
Jinho Joe. DDS.Inc
- Dental Clinic/Center
- Victorville, CA
National Provider Identifier
1326226101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 52066
- Legal business name
- JINHO JOE. DDS.INC
- Practice address
- 16200 Bear Valley Rd Ste 105
Victorville, CA 92395-8708 - Phone
- (760) 952-2102
- Fax
- (760) 952-2953
- NPI assigned
- Feb 5, 2008
- Last updated
- Feb 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jinho Joe, DDS
- Title
- President
- Phone
- (909) 799-5917
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 52066 | CA | Primary |
Addresses
Primary practice location
16200 Bear Valley Rd Ste 105
Victorville, CA 92395-8708
Mailing address
11658 Laurel Ave
Loma Linda, CA 92354-6720
Phone (909) 799-5917
National Provider Directory
National Provider DirectoryLocations
16200 Bear Valley Rd
Ste 105
Victorville, CA 92395
Phone (760) 952-2102
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Victorville, CA
- NPI 1487865747
-
- Dentist
- Victorville, CA
- NPI 1356428080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1326226101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11658 LAUREL AVE",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923546720",
"telephone_number": "909-799-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16200 BEAR VALLEY RD STE 105",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923958708",
"telephone_number": "760-952-2102",
"fax_number": "760-952-2953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JINHO JOE. DDS.INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "JOE",
"authorized_official_first_name": "JINHO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-799-5917",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "52066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.