Active NPI
Michael Sung Kyu Cho, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1760533228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9439
- Practice address
- 3216 NE 45TH PL Ste 213
Seattle, WA 98105-4028 - Phone
- (206) 522-0466
- Fax
- (206) 522-0492
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9439 | WA | Primary |
| Dentist | 122300000X | 50581 | CA |
Addresses
Primary practice location
3216 NE 45TH PL Ste 213
Seattle, WA 98105-4028
Mailing address
314 Zillah PL SE
Renton, WA 98059-7065
Phone (206) 919-9155
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 |
|---|---|---|---|---|
| I20150310001227 | WA | Order and Referring Only - Dentist | 4486970431 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9439 | WA | MD | Dentist |
| 50581 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1760533228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 ZILLAH PL SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980597065",
"telephone_number": "206-919-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 NE 45TH PL STE 213",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054028",
"telephone_number": "206-522-0466",
"fax_number": "206-522-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "MICHAEL",
"middle_name": "SUNG KYU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "9439",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50581",
"primary": false
}
],
"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 Feb 8, 2012; 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.