Judy Roh Jose, DDS, MDSC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

20138 Issued in OH

Practice address

1375 Cherry Way Dr
Suite 200
Gahanna, OH 43230-8700

Phone

(614) 428-7320

Fax

(614) 428-7322

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Endodontic Associates

  • Endodontics
  • Gahanna, OH
  • NPI 1770860728
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891877627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 CHERRY WAY DR",
            "address_2": "SUITE 200",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308700",
            "telephone_number": "614-428-7320",
            "fax_number": "614-428-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 CHERRY WAY DR",
            "address_2": "SUITE 200",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308700",
            "telephone_number": "614-428-7320",
            "fax_number": "614-428-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "JUDY",
        "middle_name": "ROH",
        "name_prefix": "Dr.",
        "credential": "DDS, MDSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "20138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David K Jones, D.O.
• Jamie Jones, DDS
• Jennifer R. Jones, PSYD
• Michael Martin Jones, AU.D.
• Michael Andrew Jonesco, DO
• Melissa Judd
• JWP Holdings LLC
• Huasm Kahwach, DDS
• Tracy Fleming Kaiser, DPT
• Katherine Marie Kakis, DPT

• Endodontics in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.