NPIMap

Organization Active NPI

Lori Chung Cho DMD Inc.

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1821570102
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
47462 Issued in CA
Legal business name
LORI CHUNG CHO DMD INC.
Practice address
150 N Jackson Ave Ste 103
San Jose, CA 95116
Phone
(408) 259-1004
Fax
(408) 347-1695
NPI assigned
Sep 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Lori Chung Cho, DMDNPI 1740451848
Title
President
Phone
(310) 897-4544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 47462 CA Primary

Addresses

Primary practice location

150 N Jackson Ave Ste 103
San Jose, CA 95116

Mailing address

4393 Watson Cir
Santa Clara, CA 95054-4166
Phone (310) 897-4544

National Provider Directory

National Provider Directory

Locations

150 N Jackson Ave
Ste 103
San Jose, CA 95116
Phone (408) 259-1004

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1821570102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4393 WATSON CIR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950544166",
            "telephone_number": "310-897-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N JACKSON AVE STE 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116",
            "telephone_number": "408-259-1004",
            "fax_number": "408-347-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI CHUNG CHO DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "CHUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-897-4544",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.