Individual provider Active NPI

Minyoung Choi, DDS

  • Dentist
  • Renton, WA
National Provider Identifier
1013323518
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60570245 Issued in WA
Practice address
3218 NE 12TH St Ste B
Renton, WA 98056-3405
Phone
(424) 430-2029
Fax
(425) 430-2067
NPI assigned
Jul 3, 2014
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 011205 CT
Dentist 122300000X DE60570245 WA Primary

Addresses

Primary practice location

3218 NE 12TH St Ste B
Renton, WA 98056-3405

Mailing address

3218 NE 12TH St Ste B
Renton, WA 98056-3405
Phone (425) 430-2029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20160718001203 WA Order and Referring Only - DentistPractitioner - Dentist 4789976473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011205CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Steve Hwang DDS PLLS Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1013323518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 NE 12TH ST STE B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563405",
            "telephone_number": "425-430-2029",
            "fax_number": "425-430-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 NE 12TH ST STE B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563405",
            "telephone_number": "424-430-2029",
            "fax_number": "425-430-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "MINYOUNG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-03",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "011205",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60570245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.