Individual provider Active NPI

Youngju Oh, D.M.D

  • Dentist
  • Irving, TX
National Provider Identifier
1841560919
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30423 Issued in TX
Practice address
1335 N Belt Line Rd Ste 16
Irving, TX 75061-4037
Phone
(972) 600-8002
Fax
(972) 600-8036
NPI assigned
Jan 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10686 CT
Dentist 122300000X 30423 TX Primary

Addresses

Primary practice location

1335 N Belt Line Rd Ste 16
Irving, TX 75061-4037

Mailing address

1335 N Belt Line Rd Ste 16
Irving, TX 75061-4037
Phone (917) 282-8712

Other practice location 1

446 S Main St
New Britain, CT 06051-3516
Phone (860) 223-2424

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
30423TXMDDentist
10686CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Dental, PLLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

1335 N Belt Line Rd
Ste 16
Irving, TX 75061
Phone (917) 282-8712

Organizations & group practices 1

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": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1841560919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N BELT LINE RD STE 16",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614037",
            "telephone_number": "917-282-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 N BELT LINE RD STE 16",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614037",
            "telephone_number": "972-600-8002",
            "fax_number": "972-600-8036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 S Main St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060513516",
            "country_code": "US",
            "telephone_number": "860-223-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "YOUNGJU",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "10686",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.