Active NPI
Jaemi Cho, DDS
- General Practice Dentistry
- Anchorage, AK
National Provider Identifier
1740665058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 132866
- Practice address
- 1136 N Muldoon Rd Ste 110
Anchorage, AK 99504 - Phone
- (907) 333-6666
- NPI assigned
- Jul 28, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31289 | TX | |
| General Practice Dentistry | 1223G0001X | 132866 | AK | Primary |
Addresses
Primary practice location
1136 N Muldoon Rd Ste 110
Anchorage, AK 99504
Mailing address
10844 Anvik Cir
Eagle River, AK 99577-8279
Phone (509) 842-6019
Other practice location 1
8340 Seguin Rd
Unit 2
Converse, TX 78109
Phone (844) 267-2643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740665058 | Medicaid | TX |
Other names 1
- Jae Mi Cho
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 |
|---|---|---|---|
| 132866 | AK | MD | General Practice Dentistry |
| 31289 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1740665058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10844 ANVIK CIR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778279",
"telephone_number": "509-842-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 N MULDOON RD STE 110",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99504",
"telephone_number": "907-333-6666"
}
],
"practiceLocations": [
{
"address_1": "8340 Seguin Rd",
"address_2": "Unit 2",
"address_purpose": "LOCATION",
"city": "Converse",
"state": "TX",
"postal_code": "78109",
"country_code": "US",
"telephone_number": "844-267-2643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHO",
"first_name": "JAEMI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31289",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "132866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740665058",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAE",
"last_name": "CHO",
"middle_name": "MI",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.