Active NPI
Youngju Oh, D.M.D
- Dentist
- Irving, TX
National Provider Identifier
1841560919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30423
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30423 | TX | MD | Dentist |
| 10686 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oh Dental, PLLC | Current | 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.