Active NPI
Hyun-DO Joo
- General Practice Dentistry
- Cedar Park, TX
National Provider Identifier
1427326875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27750
- Practice address
- 401 E Whitestone Blvd Ste 105
Cedar Park, TX 78613-9051 - Phone
- (512) 260-3777
- NPI assigned
- Dec 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| General Practice Dentistry | 1223G0001X | 27750 | TX | Primary |
| Dentist | 122300000X | 60959 | CA |
Addresses
Primary practice location
401 E Whitestone Blvd Ste 105
Cedar Park, TX 78613-9051
Mailing address
13500 Lyndburst Street
Apt #3021
Austin, TX 78717
Phone (323) 337-4301
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60959 | CA | MD | Dentist |
| 27750 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyun-DO Joo, DDS, PLLC | General Practice | Current | Accepting new patients |
| Casteen Dental Corp | General Practice | Past | Accepting new patients |
| Casteen Dental Corp Dba Capital Dental Group | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Leander, TX
- NPI 1346986239
-
- General Practice Dentistry
- Bakersfield, CA
- NPI 1356782254
-
- General Practice Dentistry
- Bakersfield, CA
- NPI 1760646210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1427326875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13500 LYNDBURST STREET",
"address_2": "APT #3021",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78717",
"telephone_number": "323-337-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E WHITESTONE BLVD STE 105",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786139051",
"telephone_number": "512-260-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOO",
"first_name": "HYUN-DO",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-13",
"last_updated": "2020-09-16",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27750",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60959",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.