Joon Woo Sohn, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

109551 Issued in CA

Practice address

15651 Imperial Hwy Ste 201
La Mirada, CA 90638-1654

Phone

(562) 947-2555

NPI assigned

Jul 22, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

Locations

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.

• Joon Woo Sohn, DMD, PC

  • Dentist
  • La Mirada, CA
  • NPI 1194575795
  NPD Authorized official
• Renken Dentistry of Texas PLLC

  • General Practice Dentistry
  • Leander, TX
  • NPI 1922527787
  NPD (past)

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1497328843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 WASHINGTON AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313111",
            "telephone_number": "805-280-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY STE 201",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381654",
            "telephone_number": "562-947-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHN",
        "first_name": "JOON WOO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2024-05-06",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Matthew Simmons, MPT
• Smile Works, a Dental Group of Farukhi P.C.
• Smile Works, a Dental Group of Farukhi P.C.
• Andrea Lauren Smith, D.C.
• Stephen Carroll Smith, DC
• Jonah Solomon, DNP
• Maria Celine Isabel Sombillo
• Andrew Phetaroun Somphonphakdy
• Seok Mo Son
• Seoyoun Song

• Dentist in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.