Peter Seong Joon Ok, DDS, MMSC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN014635 Issued in GA

Practice address

771 Old Norcross Rd
Ste 125
Lawrenceville, GA 30046-4978

Phone

(678) 985-0550

NPI assigned

Jul 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Seong Joon Ok Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1366606816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "STE 125",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464978",
            "telephone_number": "678-985-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "STE 125",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464978",
            "telephone_number": "678-985-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OK",
        "first_name": "PETER",
        "middle_name": "SEONG JOON",
        "name_prefix": "Dr.",
        "credential": "DDS, MMSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "22248",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN014635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEONG",
            "last_name": "OK",
            "middle_name": "JOON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Solomon Ogonji
• Udo P. Ogueri, D.D.S.
• Omokayode Akanji Ogundimu
• Michelle Oh
• Veronica I Ohwowhiagbese, APRN
• Chukwuka M Okafor, DMD
• Alexis Kofi Okoh, M.D
• Christinia Okoh
• Ike Okoli, RPH
• Ugochi Okorafor

• Endodontics in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.