Active NPI
Sophia Jane Chou, DMD
- General Practice Dentistry
- Denver, CO
National Provider Identifier
1710618905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 00205959
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00205959 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flatlands Family Dental PC | Current | Accepting new patients | |
| Mile High Modern Dentistry, LLP | Current | 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.
-
- Dentist
- Brooklyn, NY
- NPI 1619575099
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.