Chunkeun Choi, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

56902 Issued in CA

Practice address

72 Peabody Rd
Vacaville, CA 95687-4727

Phone

(707) 450-0732

NPI assigned

Apr 4, 2008

Sex

Male

Sole proprietor

Yes

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 CA

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

Practice roles

Locations

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.

• Chunkeun Choi DDS Inc

  • Dental Clinic/Center
  • Vallejo, CA
  • NPI 1801212691
  Medicare reassignment NPD Authorized official
• Chunkeun Choi DDS Inc

  • Dental Clinic/Center
  • Vacaville, CA
  • NPI 1821414095
  NPD Authorized official

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1013180520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PEABODY RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874727",
            "telephone_number": "707-450-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PEABODY RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874727",
            "telephone_number": "707-450-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CHUNKEUN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56902",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "56902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Chinn, LCSW
• Kyla Chisom
• Ronny Ye Chiu, PHARMD
• Brent Young Soo Chock
• Sukhman Kaur Chohan
• Jo Jung Choi, D.D.S.
• Ann Lynn Chong, L.C.S.W.
• Shilpa Chopra, MD
• Sabah Choudry, PMHNP, MSN, RN
• Naiab Naser Chowdhury, MD

• Oral and Maxillofacial Surgery (Dentist) in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.