Active NPI
Daniel Choi, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Addison, TX
National Provider Identifier
1063709848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 27131
- Practice address
- 3820 Vitruvian Way
#523
Addison, TX 75001-4035 - Phone
- (614) 390-4090
- NPI assigned
- Jun 30, 2011
- Last updated
- Feb 19, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 30-023395 | OH | |
| Periodontics | 1223P0300X | 27131 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 27131 | TX | Primary |
Addresses
Primary practice location
3820 Vitruvian Way
#523
Addison, TX 75001-4035
Mailing address
3820 Vitruvian Way
#523
Addison, TX 75001-4035
Phone (614) 390-4090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240329002774 | TX | Practitioner - Oral Surgery | 8123332244 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-023395 | OH | MD | Periodontist |
| 27131 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NTDS Grapevine | Periodontics | Current | Accepting new patients |
Locations
1870 N Stonebridge Dr
#110
McKinney, TX 75071
Phone (214) 592-0692
5949 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (214) 592-0692
Organizations & group practices 2
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.
-
- Dentist
- Keller, TX
- NPI 1730427527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1063709848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 VITRUVIAN WAY",
"address_2": "#523",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014035",
"telephone_number": "614-390-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 VITRUVIAN WAY",
"address_2": "#523",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014035",
"telephone_number": "614-390-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "30-023395",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "27131",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "27131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.