Active NPI
Sung Y Cho, DDS
- General Practice Dentistry
- Anchorage, AK
National Provider Identifier
1053381996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1209
- Practice address
- 2421 E Tudor Rd Ste 101
Anchorage, AK 99507-1128 - Phone
- (907) 677-1212
- Fax
- (907) 677-1247
- NPI assigned
- Jan 24, 2006
- 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 | 1209 | AK | Primary |
Addresses
Primary practice location
2421 E Tudor Rd Ste 101
Anchorage, AK 99507-1128
Mailing address
2421 E Tudor Rd Ste 101
Anchorage, AK 99507-1128
Phone (907) 677-1212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD57371 | Medicaid | AK | |
| 56-2609329 | Other | AK | TAX ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1209 | AK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacier Dental, LLC | General Practice | Past | Accepting new patients |
| Btydental Group, LLC | Past | Accepting new patients |
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.
-
- Dentist
- Anchorage, AK
- NPI 1013257690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1053381996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 E TUDOR RD STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071128",
"telephone_number": "907-677-1212",
"fax_number": "907-677-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 E TUDOR RD STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071128",
"telephone_number": "907-677-1212",
"fax_number": "907-677-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "SUNG",
"middle_name": "Y",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "1209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DD57371",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "56-2609329",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.