Active NPI
William J Cho, DDS, MS
- Periodontics
- Carlsbad, CA
National Provider Identifier
1083792956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 51053
- Practice address
- 3144 El Camino Real Ste 104
Carlsbad, CA 92008 - Phone
- (760) 720-7372
- Fax
- (760) 720-7372
- NPI assigned
- Nov 1, 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 51053 | CA | Primary |
Addresses
Primary practice location
3144 El Camino Real Ste 104
Carlsbad, CA 92008
Mailing address
2275 Hosp Way
Apt K
Carlsbad, CA 92008-6858
Phone (614) 313-4767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083792956 | Other | CA | PERIODONTIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20170208001265 | CA | Order and Referring Only - Other (Physician) | 0345523890 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51053 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1083792956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 HOSP WAY",
"address_2": "APT K",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920086858",
"telephone_number": "614-313-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3144 EL CAMINO REAL STE 104",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92008",
"telephone_number": "760-720-7372",
"fax_number": "760-720-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "51053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERIODONTIST",
"identifier": "1083792956",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.