Active NPI
Jenny Oh, DDS
- General Practice Dentistry
- Norwalk, CA
National Provider Identifier
1881808095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44345
- Practice address
- 14102 Pioneer Blvd
Norwalk, CA 90650 - Phone
- (562) 864-2255
- Fax
- (562) 864-4099
- NPI assigned
- May 9, 2007
- Last updated
- May 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44345 | CA | Primary |
Addresses
Primary practice location
14102 Pioneer Blvd
Norwalk, CA 90650
Mailing address
14102 Pioneer Blvd
Norwalk, CA 90650
Phone (562) 864-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4434501 | Other | CA | DENTICAL |
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 |
|---|---|---|---|
| 44345 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenny Oh DDS, Apc | General Practice | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Norwalk, CA
- NPI 1124477799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1881808095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14102 PIONEER BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-864-2255",
"fax_number": "562-864-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14102 PIONEER BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-864-2255",
"fax_number": "562-864-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "JENNY",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "B4434501",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.