Wonsuk Joo, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN03304 Issued in RI

Practice address

1242 Washington St
Norwood, MA 02062-4045

Phone

(857) 364-1566

NPI assigned

May 29, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

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.

• Haley Dental Corp

  • Dentist
  • Norwood, MA
  • NPI 1760121842
  NPD Authorized official
• Sunny Smile Group II LLC

  • General Practice Dentistry
  • Warwick, RI
  • NPI 1326439779
  NPD (past)

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

{
    "created_epoch": "1464480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1609224872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624045",
            "telephone_number": "857-364-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624045",
            "telephone_number": "857-364-1566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Bald Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028860506",
            "country_code": "US",
            "telephone_number": "401-822-1866 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOO",
        "first_name": "WONSUK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-29",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857190",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Johnson
• Rebecca Aleshia Johnson
• Kim Ann Johnston, D.C
• Deborah M Jonas, MD
• Uchenna Jones, PH.D.
• Aliesha Jordan
• Joseph H. Schwartz MD PLLC
• Joseph L Sirois III M.D. Inc.
• Samhita Ramakant Joshi, DDS
• Deep S Joshipura, MD

• Dentist in Norwood, MA
• Providers in Norwood, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.