Individual provider Active NPI

Hyojeong Joo, DDS

  • General Practice Dentistry
  • Studio City, CA
National Provider Identifier
1437879137
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107917 Issued in CA
Practice address
12840 Riverside Dr Ste 100
Studio City, CA 91607-3335
Phone
(818) 766-6767
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 107917 CA Primary

Addresses

Primary practice location

12840 Riverside Dr Ste 100
Studio City, CA 91607-3335

Mailing address

10987 Bluffside Dr Apt 4205
Studio City, CA 91604-4464
Phone (408) 963-8926

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107917CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
J. Sands, D.D.S. Inc. CurrentSince Sep 4, 2022 Accepting new patients

Locations

12840 Riverside Dr
Ste 100
Studio City, CA 91607
Phone (818) 766-6767

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1437879137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10987 BLUFFSIDE DR APT 4205",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044464",
            "telephone_number": "408-963-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR STE 100",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073335",
            "telephone_number": "818-766-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOO",
        "first_name": "HYOJEONG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.