NPIMap

Organization Active NPI

Cho, Formica, Love & Associates, P.a.

  • General Practice Dentistry
  • Bowie, MD
National Provider Identifier
1104418896
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHO, FORMICA, LOVE & ASSOCIATES, P.A.
Practice address
3233 Superior LN
Bowie, MD 20715-1920
Phone
(301) 262-3535
Fax
(301) 464-3478
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Kristine Kim, DDSNPI 1285040998
Title
Dentist
Phone
(301) 262-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3233 Superior LN
Bowie, MD 20715-1920

Mailing address

3233 Superior LN
Bowie, MD 20715-1920
Phone (301) 262-3535

Other identifiers 3

IdentifierTypeStateIssuer
1285040998OtherMDNPI
1528334034OtherMDNPI
1457627838OtherMDNPI

National Provider Directory

National Provider Directory

Locations

3233 Superior Ln
Bowie, MD 20715
Phone (301) 262-3535

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1104418896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 SUPERIOR LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151920",
            "telephone_number": "301-262-3535",
            "fax_number": "301-464-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 SUPERIOR LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151920",
            "telephone_number": "301-262-3535",
            "fax_number": "301-464-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHO, FORMICA, LOVE & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-262-3535",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285040998",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528334034",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457627838",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.