Active NPI
Mesquite Dental PLLC
- Dentist
- Mesquite, TX
National Provider Identifier
1992415566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MESQUITE DENTAL PLLC
- Practice address
- 3220 Gus Thomasson Rd Ste 347
Mesquite, TX 75150-4051 - Phone
- (972) 698-6685
- NPI assigned
- Dec 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ihnbae Cho
- Title
- DDS
- Phone
- (520) 906-5765
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
3220 Gus Thomasson Rd Ste 347
Mesquite, TX 75150-4051
Mailing address
3220 Gus Thomasson Rd Ste 347
Mesquite, TX 75150-4051
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675900800000",
"number": "1992415566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 GUS THOMASSON RD STE 347",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751504051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 GUS THOMASSON RD STE 347",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751504051",
"telephone_number": "972-698-6685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESQUITE DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-05",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A",
"authorized_official_last_name": "CHO",
"authorized_official_first_name": "IHNBAE",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "520-906-5765"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.