Active NPI
Kristy Cho
- Student in an Organized Health Care Education/Training Program
- Oak Park, IL
National Provider Identifier
1790172005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 137 N Oak Park Ave
Suite 202
Oak Park, IL 60301-1344 - Phone
- (708) 524-0330
- NPI assigned
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Dentist | 122300000X | 019030621 | IL |
Addresses
Primary practice location
137 N Oak Park Ave
Suite 202
Oak Park, IL 60301-1344
Mailing address
233 E Wacker Dr
Apt 213
Chicago, IL 60601-5104
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 |
|---|---|---|---|
| 019030621 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murphy Dental Group, PLLC | Past | Accepting new patients | |
| Wesley C. Wise, DDS & Associates, LTD | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Oak Park, IL
- NPI 1184392946
-
- General Practice Dentistry
- Oak Park, IL
- NPI 1114046398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1790172005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E WACKER DR",
"address_2": "APT 213",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606015104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 N OAK PARK AVE",
"address_2": "SUITE 202",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011344",
"telephone_number": "708-524-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "KRISTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019030621",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.