Active NPI
Cuong CHI Ho, DDS
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1003051541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57980
- Practice address
- 156 W Portal Ave # C
San Francisco, CA 94127-1306 - Phone
- (415) 564-2200
- Fax
- (415) 520-6737
- NPI assigned
- Dec 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 57980 | CA | Primary |
Addresses
Primary practice location
156 W Portal Ave # C
San Francisco, CA 94127-1306
Mailing address
156 W Portal Ave # C
San Francisco, CA 94127-1306
Phone (415) 564-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1003051541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 W PORTAL AVE # C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271306",
"telephone_number": "415-564-2200",
"fax_number": "415-520-6737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 W PORTAL AVE # C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271306",
"telephone_number": "415-564-2200",
"fax_number": "415-520-6737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "CUONG",
"middle_name": "CHI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-12",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.