Tina K Cho, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055952 Issued in NY

Practice address

2 Omni CT
New City, NY 10956-5211

Phone

(845) 634-5925

NPI assigned

Jun 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

Practice roles

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.

• Dr. Tina K. Cho DDS PLLC

  • Dental Clinic/Center
  • New City, NY
  • NPI 1477908564
  NPD (past) Authorized official
• Jentle Jade LLC

  • General Practice Dentistry
  • New City, NY
  • NPI 1053513630
  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437868800000",
    "number": "1679709745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OMNI CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565211",
            "telephone_number": "201-486-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OMNI CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565211",
            "telephone_number": "845-634-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "TINA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2015-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02398500",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Kalter-Schloss LCSW PC
• Joshua Ephraim Chesir, M.D.
• Shirnette Chin, FNP-C
• Chiropractic Health, P.C.
• Michael Cho, L.AC.
• Jae-Hak Choe
• Shafat Choudhury
• Christos Stavropoulos, MD PC
• Cassandra Rose Christy
• Yiling Chua

• General Practice Dentistry in New City, NY
• Providers in New City, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2015; 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.