Organization Active NPI

Timebridge Dental, PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1851753347
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27280 Issued in TX
Legal business name
TIMEBRIDGE DENTAL, PLLC
Practice address
2728 McKinnon St
Apt 1517
Dallas, TX 75201-1602
Phone
(415) 971-7427
NPI assigned
Mar 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Dr. Yong Ho Cho, DDS
Title
Owner
Phone
(415) 971-7427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27280 TX Primary

Addresses

Primary practice location

2728 McKinnon St
Apt 1517
Dallas, TX 75201-1602

Mailing address

2728 McKinnon St
Apt 1517
Dallas, TX 75201-1602
Phone (415) 971-7427

Other names 1

  • Revive Dental of Lewisville Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1851753347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 MCKINNON ST",
            "address_2": "APT 1517",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011602",
            "telephone_number": "415-971-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 MCKINNON ST",
            "address_2": "APT 1517",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011602",
            "telephone_number": "415-971-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMEBRIDGE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "YONG HO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-971-7427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Dental of Lewisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.