Stanley Cho DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007968 Issued in WA

Legal business name

STANLEY CHO DDS PLLC

Practice address

620 M St NE
Auburn, WA 98002-4501

Phone

(253) 833-9062

Fax

(253) 351-0503

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Dixon

Title

Office Manager

Phone

(253) 833-9062

Specialties & licenses 7

Addresses

Other names 1

• M Street Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John B Carpenter, DDS

  • General Practice Dentistry
  • Auburn, WA
  • NPI 1770523037
  NPD (past)
• Stan Cho, DDS

  • General Practice Dentistry
  • Auburn, WA
  • NPI 1669554853
  NPD (past)
• John M Clifford, DDS

  • General Practice Dentistry
  • Auburn, WA
  • NPI 1316987563
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1396791489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 M ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024501",
            "telephone_number": "253-833-9062",
            "fax_number": "253-351-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 M ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024501",
            "telephone_number": "253-833-9062",
            "fax_number": "253-351-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY CHO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-833-9062"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00003554",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005696",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007968",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007992",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006607",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00006154",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00003871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Street Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanjukta Sridharan, M.D.
• Dipti Srivastava, DDS , MDS
• Kelly St Clair
• Stability Behavioral Health LLC
• Kara Jeanne Standard
• Emily Stanley
• Dan B Steele, PT
• Rachel Claire Stephens
• Tanya Elaine Stephenson, LICSW, SUDP
• Steve Keejin Hwang DDS PLLC

• General Practice Dentistry in Auburn, WA
• Providers in Auburn, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.