Chol H Chong, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

32800 Issued in TX

Practice address

7970 Fredericksburg Rd Ste 105
San Antonio, TX 78229-3891

Phone

(210) 248-0381

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1538246889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 FREDERICKSBURG RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 FREDERICKSBURG RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293891",
            "telephone_number": "210-248-0381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Bergquist Dr Ste 1",
            "address_2": "ATTN: Credentials (CMC)",
            "address_purpose": "LOCATION",
            "city": "Lackland A F B",
            "state": "TX",
            "postal_code": "782369908",
            "country_code": "US",
            "telephone_number": "210-292-6365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHONG",
        "first_name": "CHOL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "32800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choice One Family Dental PLLC
• Ashley Desiree Choice, MS, RDN, LD
• Sheena Chokshi, PHARMD
• Araceli Chong
• Brooke Kathleen Chong, MD
• Martin Chong Jr., CPHT
• Rebecca Ann Chong
• Shakuntla Chopra
• Katherine Chores-Carmona
• Chosen for Hope Counseling Incorporated

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.

Verify at the official NPI Registry.