Active NPI
Jinho Joe, DDS
- General Practice Dentistry
- Victorville, CA
National Provider Identifier
1487865747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52066
- Practice address
- 16200 Bear Valley Rd Ste 105
Victorville, CA 92395-8708 - Phone
- (760) 952-2102
- Fax
- (760) 952-2953
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 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 (951) 676-8920
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jinho Joe. DDS.Inc | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Victorville, CA
- NPI 1326226101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1487865747",
"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": "951-676-8920",
"fax_number": "951-676-8976"
},
{
"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": {
"last_name": "JOE",
"first_name": "JINHO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"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 May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.