Active NPI
Rian Ahram Cho, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Lenoir City, TN
National Provider Identifier
1336669332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0000011452
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180912000647 | TN | Order and Referring Only - Maxillofacial Surgery | 4789941659 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000011452 | TN | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rian Cho DDS PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Southeast Oral Surgery PC | Oral and Maxillofacial Surgery | Past | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Arden, NC
- NPI 1972498269
-
- Oral and Maxillofacial Surgery (Dentist)
- Knoxville, TN
- NPI 1881992279
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
- Justin Robert Cecil, PA-C
- Abigale Bethanie Cheatham, FNP
- Cherokee Health Systems (River Valley Health)
- Cherokee Health Systems (River Valley Health -Lenoir City Pharmacy)
- Casey Cho, D.D.S
- Chuc, LLC (Covenant Health Urgent Care)
- Luz Maria Cilis Moxthe, BS,BA
- Maria H Cisneros, FNP
- Tracy Diann Clarkson
- Melissa Sue Clasby, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.