Individual provider Active NPI

Samuel Wook Cho, D.D.S.

  • General Practice Dentistry
  • King George, VA
National Provider Identifier
1376608091
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410550 Issued in VA
Practice address
5212 Kings Wood LN
King George, VA 22485-5612
Phone
(540) 663-2221
Fax
(540) 663-0255
NPI assigned
Dec 22, 2006
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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 0401410550 VA Primary

Addresses

Primary practice location

5212 Kings Wood LN
King George, VA 22485-5612

Mailing address

5212 Kings Wood LN
King George, VA 22485-5612
Phone (540) 663-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401410550VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James WM Donahue and Sang W Cho, DDS Past Accepting new patients

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1376608091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 KINGS WOOD LN",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855612",
            "telephone_number": "540-663-2221",
            "fax_number": "540-663-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 KINGS WOOD LN",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855612",
            "telephone_number": "540-663-2221",
            "fax_number": "540-663-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "SAMUEL",
        "middle_name": "WOOK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.