Individual provider Active NPI

Glenda Maria Joson, DMD

  • Dentist
  • San Dimas, CA
National Provider Identifier
1548337983
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51944 Issued in CA
Practice address
1301 W Arrow Hwy
Suite 120
San Dimas, CA 91773-2330
Phone
(909) 592-8338
NPI assigned
Nov 29, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51944 CA Primary

Addresses

Primary practice location

1301 W Arrow Hwy
Suite 120
San Dimas, CA 91773-2330

Mailing address

897 San Marcus LN
Duarte, CA 91010-2319

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
51944CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joson Dental Corporation Current Accepting new patients
Aileen C Luna Dental Corp Past Accepting new patients
Glenda Joson DDS Professional Corporation Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1548337983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 SAN MARCUS LN",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W ARROW HWY",
            "address_2": "SUITE 120",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732330",
            "telephone_number": "909-592-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSON",
        "first_name": "GLENDA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.