Young-Il Jo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42139 Issued in TX

Practice address

113 Rodeo Way Ste 100
Cibolo, TX 78108-3979

Phone

(210) 495-2000

NPI assigned

May 16, 2024

Sex

Male

Sole proprietor

No

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

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.

• Von Westernhagen Dental Corporation

  dba CanAm Dental

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1033847520
  NPD
• Cibolo 7To7 PLLC

  • Dental Clinic/Center
  • Cibolo, TX
  • NPI 1427723451
  NPD (past)
• Ortho 7To7 PLLC

  dba 7to7 Dental & Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1427930791
  NPD (past)

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1669221198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 RODEO WAY STE 100",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083979",
            "telephone_number": "973-342-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 RODEO WAY STE 100",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083979",
            "telephone_number": "210-495-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JO",
        "first_name": "YOUNG-IL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-16",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "42139",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Dental of Cibolo PLLC
• Kodi Jackson, LMT
• Lauren P Jackson, M.S. CCC-SLP
• Carter Alan Jaynes Sr., PARAMEDIC
• Kelli Christine Jimerson
• Tamara Koren Johnson, BCBA
• Ryan C Johnstun, DDS
• Jonathan Ha, DDS PPLC
• Deon Jones, LPC
• Jennefer Annette Jones

• General Practice Dentistry in Cibolo, TX
• Providers in Cibolo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.