Active NPI
Eunjoon David Noh, DMD
- General Practice Dentistry
- Danville, IL
National Provider Identifier
1871934612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019029508
- Practice address
- 2917 N Vermilion St
Danville, IL 61832-1366 - Phone
- (217) 213-3122
- NPI assigned
- Jul 9, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 019029508 | IL | Primary |
Addresses
Primary practice location
2917 N Vermilion St
Danville, IL 61832-1366
Mailing address
1905 N Cunningham Ave
Apt 106D
Urbana, IL 61802-1239
Phone (248) 705-9870
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 |
|---|---|---|---|
| 019029508 | IL | MD | General Practice Dentistry |
Interoperability endpoints
- enoh24940@direct.midwestern.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1871934612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 N CUNNINGHAM AVE",
"address_2": "APT 106D",
"city": "URBANA",
"state": "IL",
"postal_code": "618021239",
"telephone_number": "248-705-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 N VERMILION ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618321366",
"telephone_number": "217-213-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOH",
"first_name": "EUNJOON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-09",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019029508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.