Active NPI
Min Jeong Cho, DDS
- General Practice Dentistry
- Rialto, CA
National Provider Identifier
1508319153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 103615
- Practice address
- 2019 N Riverside Ave # C
Rialto, CA 92377 - Phone
- (909) 877-2000
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32079 | TX | |
| General Practice Dentistry | 1223G0001X | 103615 | CA | Primary |
Addresses
Primary practice location
2019 N Riverside Ave # C
Rialto, CA 92377
Mailing address
3250 Market St Apt 228
Riverside, CA 92501-2465
Phone (214) 843-7989
Other practice location 1
2627 W Jefferson Blvd
Dallas, TX 75211-2632
Phone (214) 842-1060
Other practice location 2
2627 W Jefferson Blvd
Dallas, TX 75211-2632
Phone (214) 842-1060
Other practice location 3
1184 W 2nd St
San Bernardino, CA 92410-1734
Phone (909) 889-7787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103615 | CA | MD | General Practice Dentistry |
| 32079 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1508319153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 MARKET ST APT 228",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925012465",
"telephone_number": "214-843-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 N RIVERSIDE AVE # C",
"city": "RIALTO",
"state": "CA",
"postal_code": "92377",
"telephone_number": "909-877-2000"
}
],
"practiceLocations": [
{
"address_1": "2627 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752112632",
"country_code": "US",
"telephone_number": "214-842-1060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2627 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752112632",
"country_code": "US",
"telephone_number": "214-842-1060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1184 W 2nd St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924101734",
"country_code": "US",
"telephone_number": "909-889-7787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHO",
"first_name": "MIN JEONG",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32079",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "103615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.