Individual provider Active NPI

John Sangwoo Cho, DDS

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1134358310
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30592 Issued in TX
Practice address
2710 Mangum Rd Ste 109
Houston, TX 77092-7495
Phone
(713) 956-0400
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30592 TX Primary

Addresses

Primary practice location

2710 Mangum Rd Ste 109
Houston, TX 77092-7495

Mailing address

2710 Mangum Rd Ste 109
Houston, TX 77092-7495
Phone (713) 956-0400

Other identifiers 1

IdentifierTypeStateIssuer
345124713MedicaidTX

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
30592TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
JSC Dental PLLC Pediatric Dentistry Current Accepting new patients

Locations

2710 Mangum Rd
Ste 109
Houston, TX 77092
Phone (713) 956-0400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1134358310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 MANGUM RD STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927495",
            "telephone_number": "713-956-0400",
            "fax_number": "713-956-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 MANGUM RD STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927495",
            "telephone_number": "713-956-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "JOHN",
        "middle_name": "SANGWOO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "30592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345124713",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.