Active NPI
Jaeyeon Cho, DMD
- Dentist
- Pearland, TX
National Provider Identifier
1508427311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35304
- Practice address
- 6302 Broadway St Ste 150
Pearland, TX 77581-7828 - Phone
- (281) 971-4052
- NPI assigned
- Jun 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35304 | TX | Primary |
Addresses
Primary practice location
6302 Broadway St Ste 150
Pearland, TX 77581-7828
Mailing address
2642 Northwood Hollow TRL
Pearland, TX 77089-1747
Phone (832) 638-9428
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 |
|---|---|---|---|
| 35304 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bliss Dental PLLC | Dentist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1508427311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2642 NORTHWOOD HOLLOW TRL",
"city": "PEARLAND",
"state": "TX",
"postal_code": "770891747",
"telephone_number": "832-638-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 BROADWAY ST STE 150",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775817828",
"telephone_number": "281-971-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "JAEYEON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-23",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
- Chirohealth Rehab
- Chirohealth Solutions (Chirohealth Chiropractic Wellness Center)
- Chiropractic Sports Therapy & Wellness Center
- Chiropractors of Pearland
- Chirotecture, PLLC.
- Jean Cho, P.A-C
- Choiceone Health Services LLC (ChoiceOne Home Care)
- Chosen Hospice Care LLC
- Michael Chou, M.D.
- Kristie May Chu, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.