Individual provider Active NPI

Sophia Jane Chou, DMD

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1710618905
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00205959 Issued in CO
Practice address
5630 N Tower Rd
Denver, CO 80249-8019
Phone
(720) 259-6154
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
General Practice Dentistry 1223G0001X 00205959 CO Primary

Addresses

Primary practice location

5630 N Tower Rd
Denver, CO 80249-8019

Mailing address

13320 SW Snowshoe LN
Beaverton, OR 97008-9396
Phone (503) 442-2726

Other practice location 1

7919 Flatlands Ave
Brooklyn, NY 11236-3531
Phone (718) 763-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00205959COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Flatlands Family Dental PC CurrentSince Mar 1, 2024 Accepting new patients
Mile High Modern Dentistry, LLP CurrentSince Oct 6, 2024 Accepting new patients

Locations

5630 N Tower Rd
Denver, CO 80249
Phone (720) 259-6154

7919 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 209-1801

Organizations & group practices 2

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1710618905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 SW SNOWSHOE LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970089396",
            "telephone_number": "503-442-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 N TOWER RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802498019",
            "telephone_number": "720-259-6154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7919 Flatlands Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112363531",
            "country_code": "US",
            "telephone_number": "718-763-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOU",
        "first_name": "SOPHIA",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00205959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.