John S. Cho, DDS, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30592 Issued in TX

Legal business name

JOHN S. CHO, DDS, PLLC

Practice address

2710 Mangum Rd Ste 109
Houston, TX 77092-7495

Phone

(713) 956-0400

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

John S Cho

Title

President

Phone

(713) 956-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mangum Park Dentistry For Children Doing business as

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1770081986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 MANGUM RD STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927495",
            "telephone_number": "713-956-0400",
            "fax_number": "713-956-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 MANGUM RD STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927495",
            "telephone_number": "713-956-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. CHO, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-956-0400"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "30592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345124701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mangum Park Dentistry For Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Luryn John-Miller, LMSW

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.