Kelley Joo

Primary specialty

DentistTaxonomy code 122300000X

License

37638 Issued in TX

Practice address

9506 N Sam Houston Pkwy E Ste 230
Humble, TX 77396-4903

Phone

(832) 850-6270

NPI assigned

Jul 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kelley Joo PLLC DDS

  • Dental Clinic/Center
  • Humble, TX
  • NPI 1407742372
  NPD Authorized official

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1669045886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 LAKES AT 610 DR APT 228",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542880",
            "telephone_number": "832-920-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9506 N SAM HOUSTON PKWY E STE 230",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964903",
            "telephone_number": "832-850-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOO",
        "first_name": "KELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Jones, M.S. CCC-SLP
• Regina M Jones
• Shannon Jones
• Tiara Jones
• Vanessa Gail Jones
• Matthew Emerson Jordan, M.D.
• Jordans Promise-Point
• Jose M. Ortega, M.D., Facs, P.a.
• Erica Renee Joseph Castex, PHARMD
• Paul Stephen Joseph

• All providers in Humble, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; 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.