NPIMap

Organization Active NPI

Jeffrey W. Joe, DDS, Inc.

  • Dentist
  • Montebello, CA
National Provider Identifier
1740529205
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34720 Issued in CA
Legal business name
JEFFREY W. JOE, DDS, INC.
Practice address
604 N. Montebello BL.
Suite B
Montebello, CA 90640
Phone
(323) 721-0799
Fax
(323) 721-5513
NPI assigned
Feb 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Dr. Jeffrey W. (Wing) Joe, DDS
Title
Owner/President
Phone
(323) 721-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 34720 CA Primary

Addresses

Primary practice location

604 N. Montebello BL.
Suite B
Montebello, CA 90640

Mailing address

604 N. Montebello BL.
Suite B
Montebello, CA 90640
Phone (323) 721-0799

National Provider Directory

National Provider Directory

Locations

604 N Montebello Blvd
Ste B
Montebello, CA 90640
Phone (323) 721-0799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1740529205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N. MONTEBELLO BL.",
            "address_2": "SUITE B",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-721-0799",
            "fax_number": "323-721-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N. MONTEBELLO BL.",
            "address_2": "SUITE B",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-721-0799",
            "fax_number": "323-721-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W. JOE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "JOE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W. (WING)",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "323-721-0799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.