Jeong-Ho Roh, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52921 Issued in CA

Practice address

5658 Sepulveda Blvd
204
Sherman Oaks, CA 91411-2915

Phone

(818) 988-9959

Fax

(818) 988-9952

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1770758344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 SEPULVEDA BLVD",
            "address_2": "204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112915",
            "telephone_number": "818-988-9959",
            "fax_number": "818-988-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 SEPULVEDA BLVD",
            "address_2": "204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112915",
            "telephone_number": "818-988-9959",
            "fax_number": "818-988-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "JEONG-HO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Rodriguez
• Yvette G Rodriguez
• Haylie Joyce Rodvold
• Roger S Lim DDS Ms Inc. (Orthodontic Arts Center)
• Erika Rogers
• Kathryn Rojo, MA, LMFT
• Joanne Robyn Rolston-Martin, MFT
• Agaton Ryk Romanes
• Mariana Haydee Romano
• Amanda Rose Romero, ASW, MSW, ED.D

• General Practice Dentistry in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.