Jaesuk Oh, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

VA7799 Issued in VA

Practice address

4141 N Henderson Rd
Ste 16
Arlington, VA 22203-2486

Phone

(703) 527-1020

Fax

(703) 527-4796

NPI assigned

May 23, 2007

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

Other names 1

• Dr. Joseph Oh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497965800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 N HENDERSON RD",
            "address_2": "STE 16",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032486",
            "telephone_number": "703-527-1020",
            "fax_number": "703-527-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N HENDERSON RD",
            "address_2": "STE 16",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032486",
            "telephone_number": "703-527-1020",
            "fax_number": "703-527-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JAESUK",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "VA7799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "OH",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon Odom
• Randhi Ofori-Atta, SPECIALIST
• Melissa Jane Ogden, OD
• Kevin L Ogle, D.MIN., AAPC FELLOW
• Angelee Oh, LMT
• Jordan Ohanesian, PSY.D.
• Saba Okbagergish
• Gloria Onyekachi Okereke, D.O.
• Nkechi Okoh
• Everlove Oku

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.