One Dental Specialties

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50451 Issued in CA

Legal business name

ONE DENTAL SPECIALTIES

Practice address

621 S Western Ave
Suite 116
Los Angeles, CA 90005-3039

Phone

(213) 381-2828

Fax

(213) 381-2882

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Joon Ho Choe, D.D.S.

Title

Dentist

Phone

(213) 381-2828

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1588925010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S WESTERN AVE",
            "address_2": "SUITE 116",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053039",
            "telephone_number": "213-381-2828",
            "fax_number": "213-381-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S WESTERN AVE",
            "address_2": "SUITE 116",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053039",
            "telephone_number": "213-381-2828",
            "fax_number": "213-381-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE DENTAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "JOON HO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "213-381-2828",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50451",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "51096",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "47496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.