Organization Active NPI

Sandra a. Cho, DPM, LLC

  • Foot Surgery Podiatrist
  • Mishawaka, IN
National Provider Identifier
1609072982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
07000825A Issued in IN
Legal business name
SANDRA A. CHO, DPM, LLC
Practice address
215 W 4TH St
Mishawaka, IN 46544-1917
Phone
(574) 255-0653
Fax
(574) 255-0682
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandra A Cho, DPM
Title
Owner
Phone
(574) 255-0673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 07000825A IN Primary

Addresses

Primary practice location

215 W 4TH St
Mishawaka, IN 46544-1917

Mailing address

PO Box 1113
Mishawaka, IN 46546-1113
Phone (574) 255-0673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609072982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1113",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465461113",
            "telephone_number": "574-255-0673",
            "fax_number": "574-255-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 4TH ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441917",
            "telephone_number": "574-255-0653",
            "fax_number": "574-255-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA A. CHO, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-255-0673",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000825A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.