Individual provider Active NPI

Alan Ho, DMD

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1326146986
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5490 Issued in AZ
Practice address
1701 E Thomas Rd
Building 2 Suite 204
Phoenix, AZ 85016-7646
Phone
(602) 253-6600
Fax
(602) 926-8304
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D5490 AZ Primary

Addresses

Primary practice location

1701 E Thomas Rd
Building 2 Suite 204
Phoenix, AZ 85016-7646

Mailing address

5025 N Central Ave
#403
Phoenix, AZ 85012-1520
Phone (602) 692-0485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 21, 2020 through Jul 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D5490AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Man Sunwoo, DMD PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aho222508@direct.ochin.org

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, 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326146986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 N CENTRAL AVE",
            "address_2": "#403",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121520",
            "telephone_number": "602-692-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E THOMAS RD",
            "address_2": "BUILDING 2 SUITE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167646",
            "telephone_number": "602-253-6600",
            "fax_number": "602-926-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "ALAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.