Hyung Chan Cho, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21696 Issued in MA

Practice address

100 Amesbury St
203
Lawrence, MA 01840-1321

Phone

(978) 686-8500

Fax

(978) 686-1592

NPI assigned

Feb 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Practice roles

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.

• Randall L Davis DMD PC

  • General Practice Dentistry
  • Lawrence, MA
  • NPI 1831226117
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336276500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SAINT ALPHONSUS ST",
            "address_2": "#207",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021201676",
            "telephone_number": "917-881-6492",
            "fax_number": "978-686-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AMESBURY ST",
            "address_2": "203",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401321",
            "telephone_number": "978-686-8500",
            "fax_number": "978-686-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "HYUNG CHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keerthy Chilakamarry, DMD
• Childrens Friend and Family Services
• Camila Maria Chile, MD
• Austin Henry Chinal
• Sahar Chitgar
• Jinhyung Cho, DMD
• Richard Choi, MD
• Roberto Chong, LICSW
• Taylor Christensen
• Rebecca Marie Cianciolo, PA-C

• General Practice Dentistry in Lawrence, MA
• Providers in Lawrence, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.