Active NPI
Hea Jin Cho, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1730628801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60872208
- Practice address
- 10521 Meridian Ave N
Seattle, WA 98133 - Phone
- (206) 296-4990
- Fax
- (206) 205-5142
- NPI assigned
- Feb 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60872208 | WA | Primary |
Addresses
Primary practice location
10521 Meridian Ave N
Seattle, WA 98133
Mailing address
PO Box 3835
Seattle, WA 98124-3835
Phone (206) 548-3114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180904001562 | WA | Order and Referring Only - Dentist | 4284984766 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1730628801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3835",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981243835",
"telephone_number": "206-548-3114",
"fax_number": "206-762-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10521 MERIDIAN AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98133",
"telephone_number": "206-296-4990",
"fax_number": "206-205-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "HEA JIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-22",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60872208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.