Dr. Jo'S Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

B28668 Issued in CA

Legal business name

DR. JO'S FAMILY DENTISTRY

Practice address

8209 Eastern Ave
Bell Gardens, CA 90201-6110

Phone

(562) 927-1112

Fax

(562) 927-7366

NPI assigned

Dec 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul S Jo, D.D.SNPI 1013088723

Title

Owner/Dentist

Phone

(562) 927-1112

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Paul S Jo, DDS

  • Dentist
  • Bell Gardens, CA
  • NPI 1013088723
  NPD (past) Authorized official

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1992035786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8209 EASTERN AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902016110",
            "telephone_number": "562-927-1112",
            "fax_number": "562-927-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8209 EASTERN AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902016110",
            "telephone_number": "562-927-1112",
            "fax_number": "562-927-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JO'S FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "562-927-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B28668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B28668",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1013088723",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.