JOONHO PHIYO
NPI 1235721523
Dentist - General Practice in Shreveport, LA

Q: What is Joonho Phiyo's NPI number?

The NPI number for Joonho Phiyo is 1235721523. It was assigned to this individual provider in the NPPES registry on February 8, 2021.

Q: What is Joonho Phiyo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Joonho Phiyo was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2021PECOS Enrolled

3719 JEWELLA AVE, SHREVEPORT, LA 71109(318) 758-9123 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2026, Feb 11, 2025, Feb 6, 2025 and 3 more (6 updates tracked since 2021).

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About Joonho Phiyo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOONHO PHIYO (NPI 1235721523) is an individual general practice provider in Shreveport, Louisiana, licensed in Louisiana (7209) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235721523

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJOONHO PHIYO

Location Address3719 JEWELLA AVEShreveport, LA 71109-4703

Mailing Address3719 Jewella AveShreveport, LA 71109-4703 · (318) 758-9123

Phone(318) 758-9123

Sole ProprietorNo

Enumeration DateFebruary 8, 2021

Last NPPES UpdateMarch 13, 20266 updates tracked since enumeration

NPPES CertifiedMarch 13, 2026

✔ NPI 1235721523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in LA · 7209

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 7209 (LA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3719 JEWELLA AVE, Shreveport, LA 71109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joonho Phiyo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPASULOCHANA SIVASANKARAGANESAN D.M.D

Dentist (General Practice)

3719 JEWELLA AVE
SHREVEPORT, LA 71109

Caddo Parish (318) 550-3362

KOOL SMILES

Dentist

3719 JEWELLA AVE
SHREVEPORT, LA 71109

Caddo Parish (318) 759-0905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joonho Phiyo's NPI number?

The NPI number for Joonho Phiyo is 1235721523. It was assigned to this individual provider in the NPPES registry on February 8, 2021.

Where is Joonho Phiyo located?

Joonho Phiyo practices at 3719 Jewella Ave, Shreveport, LA 71109. The listed phone number is (318) 758-9123.

What is Joonho Phiyo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Joonho Phiyo enrolled in Medicare?

Yes. Joonho Phiyo is registered in the Medicare PECOS enrollment system.

What insurance does Joonho Phiyo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 11 other insurers list Joonho Phiyo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joonho Phiyo was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.