Organization Active NPI

Dental Choice 2 PLLC

Doing business as Ellis Dental

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1679234496
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL CHOICE 2 PLLC
Doing business as
Ellis Dental
Practice address
2725 Ellis Ave
Fort Worth, TX 76164-7106
Phone
(817) 759-9858
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Dr. Ihnbae Cho, DDS
Title
Dentist
Phone
(520) 906-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2725 Ellis Ave
Fort Worth, TX 76164-7106

Mailing address

2725 Ellis Ave
Fort Worth, TX 76164-7106

Other names 1

  • ELLIS DENTAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1679234496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 ELLIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761647106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 ELLIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761647106",
            "telephone_number": "817-759-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CHOICE 2 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "IHNBAE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "520-906-5765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELLIS DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.