Individual provider Active NPI

Rian Ahram Cho, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lenoir City, TN
National Provider Identifier
1336669332
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0000011452 Issued in TN
Practice address
550 Town Creek Rd E Ste 102
Lenoir City, TN 37772-2600
Phone
(865) 986-4582
NPI assigned
Jun 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 0000011452 TN
Student in an Organized Health Care Education/Training Program 390200000X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0000011452 TN Primary

Addresses

Primary practice location

550 Town Creek Rd E Ste 102
Lenoir City, TN 37772-2600

Mailing address

550 Town Creek Rd E Ste 102
Lenoir City, TN 37772-2600
Phone (865) 947-9800

Other practice location 1

1930 Alcoa Highway
Knoxville, TN 37920
Phone (865) 305-9352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912000647 TN Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 4789941659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000011452TNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Rian Cho DDS PLLC Oral and Maxillofacial Surgery CurrentSince Jun 15, 2025 Accepting new patients
Southeast Oral Surgery PC Oral and Maxillofacial Surgery PastSince Jul 10, 2022 Accepting new patients

Locations

349 Rockwood Rd
Arden, NC 28704
Phone (828) 358-1583

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, 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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336669332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 TOWN CREEK RD E STE 102",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377722600",
            "telephone_number": "865-947-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 TOWN CREEK RD E STE 102",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377722600",
            "telephone_number": "865-986-4582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Alcoa Highway",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37920",
            "country_code": "US",
            "telephone_number": "865-305-9352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "RIAN",
        "middle_name": "AHRAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TN",
            "license": "0000011452",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "0000011452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.