Active NPI
Joanne Jieun Oh, D.D.S
- General Practice Dentistry
- New York, NY
National Provider Identifier
1740575398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 056372-1
- Practice address
- 20 West St
Apt 31H
New York, NY 10004-1217 - Phone
- (951) 591-0861
- NPI assigned
- Jun 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 056372-1 | NY | Primary |
Addresses
Primary practice location
20 West St
Apt 31H
New York, NY 10004-1217
Mailing address
20 West St
Apt 31H
New York, NY 10004-1217
Phone (951) 591-0861
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056372-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480118400000",
"number": "1740575398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WEST ST",
"address_2": "APT 31H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100041217",
"telephone_number": "951-591-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WEST ST",
"address_2": "APT 31H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100041217",
"telephone_number": "951-591-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "JOANNE",
"middle_name": "JIEUN",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-11",
"last_updated": "2016-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "056372-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.