Individual provider Active NPI

David Cho, DDS

  • General Practice Dentistry
  • Lakewood, WA
National Provider Identifier
1255458725
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010220 Issued in WA
Practice address
7905 53Rd Ave W
Suite 9
Lakewood, WA 98499-3166
Phone
(253) 584-1314
Fax
(253) 584-5924
NPI assigned
Mar 22, 2007
Last updated
Aug 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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 DE00010220 WA Primary

Addresses

Primary practice location

7905 53Rd Ave W
Suite 9
Lakewood, WA 98499-3166

Mailing address

7905 53Rd Ave W
Suite 9
Lakewood, WA 98499-3166
Phone (253) 584-1314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210216000636 WA Order and Referring Only - DentistPractitioner - Dentist 5092120501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1255458725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 53RD AVE W",
            "address_2": "SUITE 9",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993166",
            "telephone_number": "253-584-1314",
            "fax_number": "253-584-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 53RD AVE W",
            "address_2": "SUITE 9",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993166",
            "telephone_number": "253-584-1314",
            "fax_number": "253-584-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.