Individual provider Active NPI

Young Joon Cho, DDS

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1174976351
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32008 Issued in TX
Practice address
5904 Chapel Hill Blvd Ste 200
Plano, TX 75093-5907
Phone
(214) 919-7040
NPI assigned
Jul 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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 32008 TX Primary

Addresses

Primary practice location

5904 Chapel Hill Blvd Ste 200
Plano, TX 75093-5907

Mailing address

5904 Chapel Hill Blvd Ste 200
Plano, TX 75093-5907
Phone (214) 919-7040

Other practice location 1

2823 Kendale Dr
Dallas, TX 75220-4736
Phone (214) 350-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814001210 TX Order and Referring Only - DentistPractitioner - Dentist 2668721382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32008TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CS Dental Group, PLLC General Practice Current Accepting new patients
Nelson Lo DDS PC General Practice CurrentSince Aug 1, 2021 Accepting new patients

Locations

5904 Chapel Hill Blvd
Ste 200
Plano, TX 75093
Phone (214) 919-7040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1174976351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 CHAPEL HILL BLVD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935907",
            "telephone_number": "214-919-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 CHAPEL HILL BLVD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935907",
            "telephone_number": "214-919-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2823 Kendale Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752204736",
            "country_code": "US",
            "telephone_number": "214-350-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "YOUNG JOON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.