MYUNG JIN MARIA CHO (NPI# 1386290583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386290583 |
| Entity Type | Individual |
| Full Name | MYUNG JIN MARIA CHO |
| Credential | DDS |
| Practice Address |
1148 Broadway Ste 100 Tacoma WA 98402-3518 |
| Practice Telephone | 2535974550 |
| Mailing Telephone | 2535974550 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DE60887599 | WA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60887599 | WA | Dental Providers |
| Street Address |
1148 BROADWAY STE 100 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790762755 | Community Health Care | Clinic/Center | 1148 Broadway Ste 100, Tacoma, WA 98402 | 2005-12-29 |
| 1710529987 | Rebecca Dawn Long | Nurse Practitioner | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2019-10-09 |
| 1952879413 | Martha Moreno | Nurse Practitioner | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-11-02 |
| 1851866602 | Samalie Sseba | Nurse Practitioner | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-10-08 |
| 1972088359 | Tiffaney White | Dental Hygienist | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-10-01 |
| 1760964316 | Kelsey Wardlow | Physician Assistant | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-08-30 |
| 1518445758 | Ashley Rivero | Dental Hygienist | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-07-31 |
| 1275010480 | Rosemary Grace Cooper | Social Worker | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-07-20 |
| 1811492150 | Javier Eduardo Fregoso | Counselor | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-03-28 |
| 1922529403 | Yareli Aguirre | Physician Assistant | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2017-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
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| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672078 | Christopher Hieu-thanh Nguyen | Dentist | Madigan Annex Second Floor Building 9900, Tacoma, WA 98431-0001 | 2020-09-02 |
| 1699308619 | Gaurav Dudeja Pllc | Dentist | 5038 Tacoma Mall Blvd Ste A, Tacoma, WA 98409-7103 | 2020-02-18 |
| 1477032035 | Sampada Jayant Deshpande | Dentist | 4811 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1799 | 2018-08-14 |
| 1962996272 | William Thomas Frei | Dentist | 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 | 2018-06-20 |
| 1720598949 | Alyssa Christine Meister Burns | Dentist | 9900 Lincoln Street (2nd Floor), Tacoma, WA 98431-0001 | 2017-10-02 |
| 1528503141 | Ajaipal Singh Sekhon, Dds, Pllc | Dentist | 2716 N 31st St, Tacoma, WA 98407-6405 | 2017-01-05 |
| 1730543240 | Dale L. Vanderschelden, Dds Chartered | Dentist | 5003 Tacoma Mall Blvd Ste 103, Tacoma, WA 98409-7120 | 2016-04-11 |
| 1639552110 | Philip Henzlik | Dentist | 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2015-07-02 |
| 1639599566 | Adam Yang Dds Ps | Dentist | 15 Oregon Ave Ste 106, Tacoma, WA 98409-7462 | 2014-04-17 |
| 1265778484 | Richard Guzha Dds LLC | Dentist | 2617 6th Ave, Tacoma, WA 98406-7204 | 2012-12-15 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.