Active NPI
Jieun Choi, D.M.D.
- Dentist
- Seattle, WA
National Provider Identifier
1053630632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60751947
- Practice address
- 11066 5TH Ave NE Ste 105
Seattle, WA 98125-6156 - Phone
- (206) 362-6331
- NPI assigned
- May 22, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE60751947 | WA | Primary |
Addresses
Primary practice location
11066 5TH Ave NE Ste 105
Seattle, WA 98125-6156
Mailing address
11066 5TH Ave NE Ste 105
Seattle, WA 98125-6156
Phone (206) 362-6331
Other practice location 1
1429 S Broad St
Floor 1
Philadelphia, PA 19147-4919
Phone (215) 468-1425
Other practice location 2
17917 Bothell Everett Hwy Ste 305
Bothell, WA 98012-6379
Phone (425) 481-1038
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 |
|---|---|---|---|
| DE60751947 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jieun Choi, DMD, PLLC | Current | Accepting new patients | |
| Christine H. Kim, D.M.D. | Dentist | Past | Accepting new patients |
| Salvatore Pera, DMD, PC | Past | Accepting new patients |
Locations
11066 5th Ave NE
Ste 105
Seattle, WA 98125
Phone (206) 362-6331
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Seattle, WA
- NPI 1073145108
-
- Dentist
- Seattle, WA
- NPI 1366895088
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1558426734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1053630632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11066 5TH AVE NE STE 105",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981256156",
"telephone_number": "206-362-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11066 5TH AVE NE STE 105",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981256156",
"telephone_number": "206-362-6331"
}
],
"practiceLocations": [
{
"address_1": "1429 S Broad St",
"address_2": "Floor 1",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191474919",
"country_code": "US",
"telephone_number": "215-468-1425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17917 Bothell Everett Hwy Ste 305",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980126379",
"country_code": "US",
"telephone_number": "425-481-1038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOI",
"first_name": "JIEUN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-22",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60751947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.