Samuel Cho, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009114 Issued in AZ

Practice address

34317 N. Cave Creek Rd.
Suite 103
Cave Creek, AZ 85331-7737

Phone

(480) 595-0800

NPI assigned

Dec 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Cave Creek Dentistry, LLP

  • General Practice Dentistry
  • Cave Creek, AZ
  • NPI 1720483423
  NPD (past)
• Chandler Dental Partners LLC

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1780449009
  NPD (past)

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1972901692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34317 N. CAVE CREEK RD.",
            "address_2": "SUITE 103",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853317737",
            "telephone_number": "480-595-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34317 N. CAVE CREEK RD.",
            "address_2": "SUITE 103",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853317737",
            "telephone_number": "480-595-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009114",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cave Creek Dentistry, LLP
• Cave Creek Eye LLC
• Cave Creek Pediatric Therapy
• Barinder Singh Chana, MD
• Leah Chischilly, L.AC.
• CLL Innovations LLC
• Coastal Counseling Services
• Teresa Michelle Colao
• Jeanette Cole, F.N.P.
• Kristen S Collins, PT

• General Practice Dentistry in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.