Edward Timothy Cho, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019031194 Issued in IL

Practice address

32 N Cass Ave
Westmont, IL 60559-1602

Phone

(630) 271-9816

NPI assigned

Oct 4, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edward M. Cho D.D.S. LTD.

  dba Lakeview Dental Center

  • Dentist
  • Westmont, IL
  • NPI 1639598980
  NPD (past)

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861902876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591602",
            "telephone_number": "630-271-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591602",
            "telephone_number": "630-271-9816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2822 N Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574002",
            "country_code": "US",
            "telephone_number": "773-871-0302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "EDWARD",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Prostate Center, LLC (Chicago Prostate Cancer Center)
• Chicago Vascular ASC LLC
• Chicagoland Advanced Pain Center (Pain and Spine Center)
• Chicagoland Advanced Pain Specialists,Inc
• Edward M Cho, DDS
• John Christiansen, PT
• Steven Christopher Chudik, M.D.
• Steven Cieniawa
• Kristina Cipparrone, NP
• Brielle Ciucci, PT, DPT

• General Practice Dentistry in Westmont, IL
• Providers in Westmont, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.