Individual provider Active NPI

Yoonchul Roh, D.M.D.

  • General Practice Dentistry
  • Upper Marlboro, MD
National Provider Identifier
1851418826
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13225 Issued in MD
Practice address
14446 Old Mill Rd
Suite 101
Upper Marlboro, MD 20772-3086
Phone
(301) 952-8515
Fax
(301) 952-8508
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13225 MD Primary

Addresses

Primary practice location

14446 Old Mill Rd
Suite 101
Upper Marlboro, MD 20772-3086

Mailing address

14446 Old Mill Rd
Suite 101
Upper Marlboro, MD 20772-3086
Phone (301) 952-8515

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
13225MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yc Roh, DMD, PA General Practice Current Accepting new patients

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1851418826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14446 OLD MILL RD",
            "address_2": "SUITE 101",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723086",
            "telephone_number": "301-952-8515",
            "fax_number": "301-952-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14446 OLD MILL RD",
            "address_2": "SUITE 101",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723086",
            "telephone_number": "301-952-8515",
            "fax_number": "301-952-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "YOONCHUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.