Individual provider Active NPI

Choon Hong Cha, M.D.

  • Neurology Physician
  • Dallas, TX
National Provider Identifier
1912972845
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H7594 Issued in TX
Practice address
10404 Eastlawn Dr
Dallas, TX 75229-5308
Phone
(214) 496-0606
NPI assigned
Feb 22, 2006
Last updated
May 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X H7594 TX Primary
Neurology Physician 2084N0400X A51544 CA
Neurology Physician 2084N0400X 20622 OK

Addresses

Primary practice location

10404 Eastlawn Dr
Dallas, TX 75229-5308

Mailing address

10404 Eastlawn Dr
Dallas, TX 75229-5308
Phone (214) 496-0606

Other identifiers 1

IdentifierTypeStateIssuer
044601502MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A51544CAMDNeurology Physician
20622OKMDNeurology Physician
H7594TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical & Surgical Clinic of Irving, P.a. Past Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Past Accepting new patients
Diagnostic Imaging Center at Texas Neurology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1912972845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 EASTLAWN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295308",
            "telephone_number": "214-496-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 EASTLAWN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295308",
            "telephone_number": "214-496-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "CHOON",
        "middle_name": "HONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H7594",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A51544",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "20622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044601502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 14, 2015; 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.