Daniel J Cho, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10803 Issued in OR

Practice address

11786 SW Barnes Rd Ste 340
Portland, OR 97225-5930

Phone

(503) 646-4600

Fax

(971) 317-8466

NPI assigned

Jul 9, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1205277118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD STE 340",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255930",
            "telephone_number": "503-646-4600",
            "fax_number": "971-317-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD STE 340",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255930",
            "telephone_number": "503-646-4600",
            "fax_number": "971-317-8466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Merchants Row",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "VT",
            "postal_code": "05495",
            "country_code": "US",
            "telephone_number": "802-497-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10803",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0096868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Rebecca Chladek, L.AC.
• Rachel A Chlasta, PHARMD
• Karen Chlosta, RN
• Bradley Chmelar, DC
• Astra Cho, MSW,QMHP-R
• Daniel Minki Cho, LPC
• Hyun Jun Cho, DO
• In Hwan Cho, PHN
• Kaitlyn Soohyun Cho
• Lucy Y Cho, M.D.

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.

Verify at the official NPI Registry.