JOANNA KOO (NPI# 1093323354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093323354 |
| Entity Type | Individual |
| Full Name | JOANNA KOO |
| Credential | DDS |
| Practice Address |
19040 Van Buren Blvd Ste 111 Riverside CA 92508-9160 |
| Mailing Address |
7630 Canberra Way Riverside CA 92508-6067 |
| Practice Telephone | 9517890200 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 105067 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31577 Canyon Estates Dr Ste 205, Lake Elsinore, CA 925320467 | 9516746900 |
| Street Address |
19040 VAN BUREN BLVD STE 111 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92508-9160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439668 | Sumin Kang | Dentist | 19040 Van Buren Blvd Ste 111, Riverside, CA 92508-9160 | 2019-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257121 | Careconnexus, LLC | Non-emergency Medical Transport (VAN) | 9338 Millionaire Lane, Riverside, CA 92508 | 2018-08-31 |
| 1003265117 | Travis William Cruz | Physician Assistant | 9525 Los Amigos Court, Riverside, CA 92508 | 2016-06-09 |
| 1043610769 | Mountain Vista Medical Center | General Acute Care Hospital | 8168 Palm View Ln, Riverside, CA 92508 | 2014-08-29 |
| 1952642399 | John Lawrence Bowers | Marriage & Family Therapist | 19900 Grove Community Drive, Riverside, CA 92508 | 2013-03-11 |
| 1952605248 | Dennis Graves | Counselor | 17270 Roosevelt Ave, Riverside, CA 92508 | 2011-01-01 |
| 1811207632 | Bekele T Haimanot | Physician Assistant | 9528 Los Coches Court, Riverside, CA 92508 | 2010-10-14 |
| 1518144625 | Irene T. Zaki | Dentist | 20873 Grove Community Dr., Riverside, CA 92508 | 2008-01-31 |
| 1093902447 | Edward Keith Forward | Specialist | 18167 Kross Rd, Riverside, CA 92508 | 2007-10-01 |
| 1255523593 | Sopheap Tang | Dentist | 18876 Van Buren Blvd, Ste 107, Riverside, CA 92508 | 2007-08-10 |
| 1942336995 | Ching-roo Chi | Dentist | 473 E. Allessandro Blvd., Suite A, Riverside, CA 92508 | 2007-02-26 |
| Find all providers in zip 92508 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1003431834 | Tina Cho Dmd Inc | Dentist | 6160 Arlington Ave Ste D4, Riverside, CA 92504-1900 | 2020-06-08 |
| 1982181012 | Sam Tehrani | Dentist | 3297 Arlington Ave Ste 101, Riverside, CA 92506-3250 | 2018-07-21 |
| 1851878045 | Maria Jesus Tagle-castro Parsa | Dentist | 5800 Van Buren Blvd Ste 110, Riverside, CA 92503-9031 | 2018-07-20 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1104348960 | Hochan Hwang | Dentist | 1212 E Putnam Ave Ste 2, Riverside, CT 06878-1431 | 2017-07-13 |
| 1699214155 | Shining Smiles Riverside Inc. | Dentist | 2720 Harlem Ave, Riverside, IL 60546-1738 | 2017-02-16 |
| 1629510458 | Seung M Kang & Lloyd Trieu Dds, Inc. | Dentist | 17942 Van Buren Blvd, Riverside, CA 92508-9255 | 2016-11-10 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| 1972952448 | Hieu Trung Mai | Dentist | 11695 Slate Ave Ste 200, Riverside, CA 92505-5197 | 2016-06-06 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.