NPIMap

Organization Active NPI

S. Oh Dental Corp

  • General Practice Dentistry
  • Visalia, CA
National Provider Identifier
1952832230
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44049 Issued in CA
Legal business name
S. OH DENTAL CORP
Practice address
1705 S Mooney Blvd
Visalia, CA 93277-4445
Phone
(559) 734-1111
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dr. Saekyu Oh, D.M.D.
Title
Ceo
Phone
(661) 328-0876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44049 CA Primary

Addresses

Primary practice location

1705 S Mooney Blvd
Visalia, CA 93277-4445

Mailing address

PO Box 10059
Bakersfield, CA 93389-0059
Phone (661) 328-0876

Other names 1

  • Smileland Dental of Visalia Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1952832230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10059",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933890059",
            "telephone_number": "661-328-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774445",
            "telephone_number": "559-734-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. OH DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SAEKYU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-328-0876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smileland Dental of Visalia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.