Organization Active NPI

Jin Choi DMD LLC

  • Dentist
  • Cleveland, OH
National Provider Identifier
1043063837
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JIN CHOI DMD LLC
Practice address
4827 State Rd
Cleveland, OH 44109-5542
Phone
(216) 741-1067
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Jin Hee Choi, DMD
Title
Owner
Phone
(216) 741-1067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4827 State Rd
Cleveland, OH 44109-5542

Mailing address

4827 State Rd
Cleveland, OH 44109-5542
Phone (216) 741-1067

Other names 1

  • Gentle Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4827 State Rd
Cleveland, OH 44109
Phone (216) 741-1067

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1043063837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 STATE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095542",
            "telephone_number": "216-741-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4827 STATE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095542",
            "telephone_number": "216-741-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN CHOI DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JIN HEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-741-1067",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.