Active NPI
Sueginn Eileen Cho, D.D.S.
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1023217346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23458
- Practice address
- 1210 W Braker LN
Austin, TX 78758-3801 - Phone
- (512) 978-9880
- Fax
- (512) 279-2556
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- 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 | 23458 | TX | Primary |
Addresses
Primary practice location
1210 W Braker LN
Austin, TX 78758-3801
Mailing address
2115 Kramer LN
Suite 100
Austin, TX 78758-4013
Phone (512) 978-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161102002901 | TX | Order and Referring Only - Oral Surgery | 9830477348 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23458 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1023217346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 KRAMER LN",
"address_2": "SUITE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787584013",
"telephone_number": "512-978-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 W BRAKER LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787583801",
"telephone_number": "512-978-9880",
"fax_number": "512-279-2556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "SUEGINN",
"middle_name": "EILEEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.