Organization Active NPI

Jinho Joe. DDS.Inc

  • Dental Clinic/Center
  • Victorville, CA
National Provider Identifier
1326226101
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
52066 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Jinho Joe, DDSNPI 1487865747
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.