Individual provider Active NPI

Heesoo Oh, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Francisco, CA
National Provider Identifier
1497944060
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
53841 Issued in CA
Practice address
155 5TH Street
Suite 3E
San Francisco, CA 94103-2919
Phone
(415) 929-6569
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 53841 CA Primary

Addresses

Primary practice location

155 5TH Street
Suite 3E
San Francisco, CA 94103-2919

Mailing address

155 5TH Street
Suit 358
San Francisco, CA 94103-2919
Phone (415) 351-7109

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230213002019 CA Practitioner - Dentist 7517337876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Pacific CurrentSince Nov 22, 2022 Accepting new patients
University of the Pacific CurrentSince Nov 22, 2022 Accepting new patients
University of the Pacific Orthodontics and Dentofacial Orthopedics Past Accepting new patients
University of the Pacific Arthur a. Dugoni Past Accepting new patients

Locations

155 5th St
Ste 250
San Francisco, CA 94103
Phone (415) 780-2001

155 5th St
Ste 3E
San Francisco, CA 94103
Phone (415) 929-6501

3601 Pacific Ave
Univ of the Pacific, CA 95211
Phone (209) 946-2132

Organizations & group practices 4

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": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1497944060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 5TH STREET",
            "address_2": "SUIT 358",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-351-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH STREET",
            "address_2": "SUITE 3E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "HEESOO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "53841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.