Individual provider Active NPI

Young H Cho, DDS

  • General Practice Dentistry
  • Woodbridge, VA
National Provider Identifier
1013203116
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413189 Issued in VA
Practice address
2200 Opitz Blvd Ste 220
Woodbridge, VA 22191-3341
Phone
(703) 492-0080
Fax
(240) 513-4153
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401413189 VA Primary

Addresses

Primary practice location

2200 Opitz Blvd Ste 220
Woodbridge, VA 22191-3341

Mailing address

2200 Opitz Blvd Ste 220
Woodbridge, VA 22191-3341
Phone (703) 492-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 8, 2021 through Dec 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401413189VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Family Dentistry, P.C. CurrentSince Jul 24, 2022 Accepting new patients
Dr. Marilyn Coleman, DDS PC General Practice PastSince Jul 24, 2022 Accepting new patients

Locations

2200 Opitz Blvd
Ste 220
Woodbridge, VA 22191
Phone (703) 492-0080

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013203116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD STE 220",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913341",
            "telephone_number": "703-492-0080",
            "fax_number": "240-513-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD STE 220",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913341",
            "telephone_number": "703-492-0080",
            "fax_number": "240-513-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "YOUNG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.