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DR. JAEWOO CHO D.D.S.
NPI 1699221622
Dentist - General Practice in Diamond Bar, CA

Active since August 30, 2016PECOS Enrolled
646 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765(909) 861-2661 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2022, Aug 30, 2016 (2 updates tracked since 2016).

About Dr. Jaewoo Cho D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAEWOO CHO D.D.S. (NPI 1699221622) is an individual general practice provider in Diamond Bar, California, licensed in California (102790) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Montclair.

NPPES Registry Identity

NPI1699221622
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAEWOO CHOCredential: D.D.S.
Location Address646 N DIAMOND BAR BLVDDiamond Bar, CA 91765-1037
Mailing Address646 N Diamond Bar BlvdDiamond Bar, CA 91765-1037 · (909) 861-2661
Phone(909) 861-2661
Sole ProprietorNo
Enumeration DateAugust 30, 2016
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1699221622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 102790
Definition
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.
646 N DIAMOND BAR BLVD, Diamond Bar, CA 91765
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Secondary Practice Location 1

Location 19655 Monte Vista Ave Ste 406Montclair, CA 91763-2238 · Phone (909) 626-8214

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaewoo Cho D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91765 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MAUREEN T SHORT DDS
Dentist (Pediatric Dentistry)
646 N DIAMOND BAR BLVD
DIAMOND BAR, CA 91765
Los Angeles County (909) 861-2661
MR. JERRY P. YOUNG D.D.S.
Dentist (General Practice)
646 N DIAMOND BAR BLVD
DIAMOND BAR, CA 91765
Los Angeles County (909) 861-2661
JEON CHO DENTAL PARTNERSHIP
Dentist (General Practice)
646 N DIAMOND BAR BLVD
DIAMOND BAR, CA 91765
Los Angeles County (909) 861-2661
YOUNG AND SHORT, A DENTAL CORPORATION
Dentist
646 N DIAMOND BAR BLVD
DIAMOND BAR, CA 91765
Los Angeles County (909) 861-2661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaewoo Cho's NPI number?

The NPI number for Jaewoo Cho is 1699221622. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Jaewoo Cho located?

Jaewoo Cho practices at 646 N Diamond Bar Blvd, Diamond Bar, CA 91765. The listed phone number is (909) 861-2661.

What is Jaewoo Cho's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jaewoo Cho enrolled in Medicare?

Yes. Jaewoo Cho is registered in the Medicare PECOS enrollment system.

What insurance does Jaewoo Cho accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Jaewoo Cho as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaewoo Cho was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.