Individual provider Active NPI

Kwang H Cho, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1780023473
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29093 Issued in TX
Practice address
1400 Blalock Rd Ste D-1
Houston, TX 77055-4483
Phone
(713) 360-7963
Fax
(832) 649-7079
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29093 TX
General Practice Dentistry 1223G0001X 29093 TX Primary

Addresses

Primary practice location

1400 Blalock Rd Ste D-1
Houston, TX 77055-4483

Mailing address

1400 Blalock Rd Ste D-1
Houston, TX 77055-4483
Phone (713) 360-7963

Other practice location 1

9404 W Sam Houston Pkwy S Ste A
Houston, TX 77099-2054
Phone (832) 365-5135

Other practice location 2

8282 Cambridge St Apt 1815
Houston, TX 77054-3127
Phone (214) 728-7689

Other practice location 3

2508 Gulf Fwy S # 108
League City, TX 77573-6743
Phone (281) 678-8344

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

LicenseStateTypeSpecialty
29093TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1780023473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BLALOCK RD STE D-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554483",
            "telephone_number": "713-360-7963",
            "fax_number": "832-649-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BLALOCK RD STE D-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554483",
            "telephone_number": "713-360-7963",
            "fax_number": "832-649-7079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9404 W Sam Houston Pkwy S Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770992054",
            "country_code": "US",
            "telephone_number": "832-365-5135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8282 Cambridge St Apt 1815",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770543127",
            "country_code": "US",
            "telephone_number": "214-728-7689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2508 Gulf Fwy S # 108",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775736743",
            "country_code": "US",
            "telephone_number": "281-678-8344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "KWANG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29093",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.