Individual provider Active NPI

Han NA Cho

  • Endodontics
  • Flushing, NY
National Provider Identifier
1851852883
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
35966 Issued in TX
Practice address
14901 41St Ave
Flushing, NY 11355-1025
Phone
(267) 902-0918
NPI assigned
Mar 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35966 TX
Student in an Organized Health Care Education/Training Program 390200000X
Endodontics 1223E0200X 35966 TX Primary

Addresses

Primary practice location

14901 41St Ave
Flushing, NY 11355-1025

Mailing address

14901 41St Ave
Flushing, NY 11355-1025
Phone (267) 902-0918

Other practice location 1

312 Montgomery Ave Apt C6
Haverford, PA 19041-1521
Phone (267) 902-0918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715001594 NY Order and Referring Only - DentistPractitioner - Dentist 2567797426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35966TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1851852883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551025",
            "telephone_number": "267-902-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551025",
            "telephone_number": "267-902-0918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Montgomery Ave Apt C6",
            "address_purpose": "LOCATION",
            "city": "Haverford",
            "state": "PA",
            "postal_code": "190411521",
            "country_code": "US",
            "telephone_number": "267-902-0918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "HAN NA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35966",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "35966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.