Individual provider Active NPI

Sang Jun Cho, DDS

  • General Practice Dentistry
  • Germantown, MD
National Provider Identifier
1841802097
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17098 Issued in MD
Practice address
20500 Seneca Meadows Pkwy Ste 2220
Germantown, MD 20876-7009
Phone
(301) 916-8570
Fax
(301) 916-8579
NPI assigned
Aug 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17098 MD Primary

Addresses

Primary practice location

20500 Seneca Meadows Pkwy Ste 2220
Germantown, MD 20876-7009

Mailing address

14620 Bauer Dr Apt 3
Rockville, MD 20853-2450
Phone (240) 328-8181

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
17098MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sang Cho DDS, L.L.C. General Practice CurrentSince Jun 16, 2024 Accepting new patients

Locations

20500 Seneca Meadows Pkwy
Ste 2220
Germantown, MD 20876
Phone (301) 916-8570

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1841802097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14620 BAUER DR APT 3",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532450",
            "telephone_number": "240-328-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20500 SENECA MEADOWS PKWY STE 2220",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767009",
            "telephone_number": "301-916-8570",
            "fax_number": "301-916-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "SANG",
        "middle_name": "JUN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; 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.