Individual provider Active NPI

Jae Yeon Cho, DMD

  • General Practice Dentistry
  • Sun City, AZ
National Provider Identifier
1114202389
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008264 Issued in AZ
Practice address
18818 N 99TH Ave
Sun City, AZ 85373-1431
Phone
(623) 815-0512
Fax
(623) 815-0578
NPI assigned
Oct 19, 2011
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D008264 AZ Primary

Addresses

Primary practice location

18818 N 99TH Ave
Sun City, AZ 85373-1431

Mailing address

2860 Michelle Drive 2ND Floor
Irvine, CA 92606
Phone (714) 368-2077

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

LicenseStateTypeSpecialty
D008264AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ajml Dental PLLC General Practice CurrentSince Aug 11, 2019 Accepting new patients
Clara P Fajardo DDS PC PastSince Aug 11, 2019 Accepting new patients

Locations

18818 N 99th Ave
Sun City, AZ 85373
Phone (623) 815-0512

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1114202389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE DRIVE 2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92606",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18818 N 99TH AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731431",
            "telephone_number": "623-815-0512",
            "fax_number": "623-815-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "JAE",
        "middle_name": "YEON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.