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1659197770 NPI number — DIANA H JOO DDS

NPI Number: 1659197770
Health Care Provider/Practitioner: DIANA H JOO DDS

Information about “1659197770” NPI (DIANA H JOO DDS) exists in 1659197770 in HTML format HTML  |  1659197770 in plain Text format TXT  |  1659197770 in PDF (Portable Document Format) PDF  |  1659197770 in an XML format XML  formats.

NPI Number : 1659197770 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659197770",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOO",
    "FirstName": "DIANA",
    "MiddleName": "H",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOO",
    "OtherFirstName": "HEE",
    "OtherMiddleName": "RYANG",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8304 GREENTREE MANOR LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAIRFAX STATION",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22039-3214",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-309-7116",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5500 COLUMBIA PIKE STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22204-5867",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-575-9899",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/25/2024",
    "LastUpdateDate": "08/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223P0700X",
          "TaxonomyName": "Prosthodontics",
          "LicenseNumber": "0401419374",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1223P0700X",
          "TaxonomyName": "Prosthodontics",
          "LicenseNumber": "DS044989",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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