Su-Jeong Oh DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SU-JEONG OH DDS INC.

Practice address

26775 Hayward Blvd Ste P
Hayward, CA 94542-2082

Phone

(510) 353-3233

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Su-Jeong Oh, DDSNPI 1174293880

Title

Ceo

Phone

(408) 314-7327

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Su-Jeong Oh, DDS

  • Dentist
  • San Leandro, CA
  • NPI 1174293880
  NPD Authorized official

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1437848926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26775 HAYWARD BLVD STE P",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945422082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26775 HAYWARD BLVD STE P",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945422082",
            "telephone_number": "510-353-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU-JEONG OH DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SU-JEONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-314-7327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hayward, CA
• Providers in Hayward, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.