Individual provider Active NPI

Jai Cho

  • General Practice Dentistry
  • Newport Beach, CA
National Provider Identifier
1710316690
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111420 Issued in CA
Practice address
1401 Avocado Ave Ste 603
Newport Beach, CA 92660-8715
Phone
(909) 963-8221
NPI assigned
Nov 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 111420 CA Primary

Addresses

Primary practice location

1401 Avocado Ave Ste 603
Newport Beach, CA 92660-8715

Mailing address

442 Santa Louisa
Irvine, CA 92606-0802
Phone (909) 963-8221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 5, 2016 through Apr 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111420CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jai Cho DDS Dental Corp General Practice CurrentSince Nov 8, 2025 Accepting new patients
Shelton Dental Group LLC Past Accepting new patients
SPH Enterprise LLC General Practice Past Accepting new patients
Secure Dental II, LLC Past Accepting new patients
Secure Dental LLC Past Accepting new patients

Locations

1401 Avocado Ave
Ste 603
Newport Beach, CA 92660
Phone (909) 963-8221

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1710316690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 SANTA LOUISA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926060802",
            "telephone_number": "909-963-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 603",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608715",
            "telephone_number": "909-963-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "JAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.