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

Last updated

Jul 7, 2022By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haley Dental Corp

  dba Norwood Dental Center

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

  dba Aspen Dental

  • 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.
• Deep S Joshipura, MD
• Journey Momentum and Growth LLC (Comfort Keepers Franchising Inc)

• 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.