Active NPI
Yoonnyoung Choi, DDS
- Dentist
- San Jose, CA
National Provider Identifier
1063801322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63867
- Practice address
- 251 Oconnor Dr Ste 3
San Jose, CA 95128-1656 - Phone
- (949) 943-0054
- NPI assigned
- Jan 9, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 63867 | CA | |
| Dentist | 122300000X | 63867 | CA | Primary |
Addresses
Primary practice location
251 Oconnor Dr Ste 3
San Jose, CA 95128-1656
Mailing address
251 Oconnor Dr Ste 3
San Jose, CA 95128-1656
Phone (408) 243-4216
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150801017385 | CA | Order and Referring Only - Dentist | 9830403062 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1063801322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 OCONNOR DR STE 3",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281656",
"telephone_number": "408-243-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 OCONNOR DR STE 3",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281656",
"telephone_number": "949-943-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "YOONNYOUNG",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-09",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "63867",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.