Active NPI
Charles Jae Choi, DDS
- General Practice Dentistry
- Cedar Rapids, IA
National Provider Identifier
1003824517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6642
- Practice address
- 3500 Center Point Rd NE
Suite3
Cedar Rapids, IA 52402-5566 - Phone
- (319) 393-4828
- Fax
- (319) 393-5816
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6642 | IA | Primary |
Addresses
Primary practice location
3500 Center Point Rd NE
Suite3
Cedar Rapids, IA 52402-5566
Mailing address
3500 Center Point Rd NE Ste 3
Cedar Rapids, IA 52402-5566
Phone (319) 393-4828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035022 | Medicaid | IA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6642 | IA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003824517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 CENTER POINT RD NE STE 3",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025566",
"telephone_number": "319-393-4828",
"fax_number": "319-393-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CENTER POINT RD NE",
"address_2": "SUITE3",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025566",
"telephone_number": "319-393-4828",
"fax_number": "319-393-5816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "CHARLES",
"middle_name": "JAE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "6642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0035022",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.