Individual provider Active NPI

Jossette Trinh Vo, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orange Park, FL
National Provider Identifier
1699821074
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN 16874 Issued in FL
Practice address
5000 US Highway 17 Ste 4
Orange Park, FL 32003-8237
Phone
(904) 215-7855
Fax
(904) 215-7856
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN 16874 FL Primary

Addresses

Primary practice location

5000 US Highway 17 Ste 4
Orange Park, FL 32003-8237

Mailing address

1904 Holly Oak Dr
Orange Park, FL 32065-4246
Phone (904) 229-9009

Other practice location 1

1904 Holly Oak Dr
Orange Park, FL 32065-4246
Phone (904) 229-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160603000364 FL Order and Referring Only - DentistPractitioner - DentistPractitioner - Oral Surgery 9931499936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 16874FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. Past Accepting new patients
Coast Dental P.a. PastSince Jun 22, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1699821074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 HOLLY OAK DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320654246",
            "telephone_number": "904-229-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 US HIGHWAY 17 STE 4",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320038237",
            "telephone_number": "904-215-7855",
            "fax_number": "904-215-7856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Holly Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320654246",
            "country_code": "US",
            "telephone_number": "904-229-9009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO",
        "first_name": "JOSSETTE",
        "middle_name": "TRINH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 16874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.