Organization Active NPI

Lakeworth Dental PLLC

  • Dentist
  • Lake Worth, TX
National Provider Identifier
1679279301
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LAKEWORTH DENTAL PLLC
Practice address
6332 Lake Worth Blvd
Lake Worth, TX 76135-3602
Phone
(682) 516-3532
NPI assigned
Feb 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Ihnbae Cho
Title
Dentist
Phone
(520) 906-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6332 Lake Worth Blvd
Lake Worth, TX 76135-3602

Mailing address

6332 Lake Worth Blvd
Lake Worth, TX 76135-3602
Phone (682) 516-3532

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1679279301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 LAKE WORTH BLVD",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353602",
            "telephone_number": "682-516-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 LAKE WORTH BLVD",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353602",
            "telephone_number": "682-516-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWORTH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "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"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.