Organization Active NPI

Jaewoo Cho Dental Corporation

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1710733795
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JAEWOO CHO DENTAL CORPORATION
Practice address
17736 San Bernardino Ave
Fontana, CA 92335-6133
Phone
(909) 822-4363
Fax
(909) 822-4476
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Dr. Jaewoo Cho, D.D.S
Title
Owner
Phone
(951) 436-8103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

17736 San Bernardino Ave
Fontana, CA 92335-6133

Mailing address

17736 San Bernardino Ave
Fontana, CA 92335-6133
Phone (909) 822-4363

Other names 1

  • The Art of Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

17736 San Bernardino Ave
Fontana, CA 92335
Phone (909) 822-4363

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1710733795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17736 SAN BERNARDINO AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356133",
            "telephone_number": "909-822-4363",
            "fax_number": "909-822-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17736 SAN BERNARDINO AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356133",
            "telephone_number": "909-822-4363",
            "fax_number": "909-822-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAEWOO CHO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JAEWOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-436-8103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Art of Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Art of Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.