Organization Active NPI

Sycamore School Dental, PLLC

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1083310197
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SYCAMORE SCHOOL DENTAL, PLLC
Practice address
3515 Sycamore School Rd Ste 170
Fort Worth, TX 76133-7823
Phone
(682) 204-5717
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Ihnbae Cho
Title
Dentist
Phone
(520) 906-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3515 Sycamore School Rd Ste 170
Fort Worth, TX 76133-7823

Mailing address

3515 Sycamore School Rd Ste 170
Fort Worth, TX 76133-7823

National Provider Directory

National Provider Directory

Locations

3515 Sycamore School Rd
Ste 170
Fort Worth, TX 76133
Phone (682) 204-5717

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1083310197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 SYCAMORE SCHOOL RD STE 170",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 SYCAMORE SCHOOL RD STE 170",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337823",
            "telephone_number": "682-204-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE SCHOOL DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "IHNBAE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "520-906-5765",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.