Individual provider Active NPI

Young-Mi Oh, D.D.S.

  • General Practice Dentistry
  • Wilson, NC
National Provider Identifier
1700032398
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8636 Issued in NC
Practice address
3001 Raleigh Road Pkwy W
Ste B
Wilson, NC 27896-8213
Phone
(252) 674-1124
Fax
(252) 674-1125
NPI assigned
Aug 14, 2008
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8636 NC Primary

Addresses

Primary practice location

3001 Raleigh Road Pkwy W
Ste B
Wilson, NC 27896-8213

Mailing address

8413 Dunnington Cir
Raleigh, NC 27613-8592
Phone (919) 413-3907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8636NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1700032398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8413 DUNNINGTON CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276138592",
            "telephone_number": "919-413-3907",
            "fax_number": "919-848-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 RALEIGH ROAD PKWY W",
            "address_2": "STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968213",
            "telephone_number": "252-674-1124",
            "fax_number": "252-674-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "YOUNG-MI",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.