Individual provider Active NPI

Mijin Choi, DMD

  • General Practice Dentistry
  • Tigard, OR
National Provider Identifier
1073138558
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11433 Issued in OR
Practice address
14300 SW Pacific Hwy
Tigard, OR 97224-3665
Phone
(503) 639-4330
Fax
(503) 639-5400
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11433 OR Primary

Addresses

Primary practice location

14300 SW Pacific Hwy
Tigard, OR 97224-3665

Mailing address

14300 SW Pacific Hwy
Tigard, OR 97224-3665
Phone (503) 639-4330

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

LicenseStateTypeSpecialty
DE61042669WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Choi DMD and Choi DDS LLC Current Accepting new patients
Choi Dental Group LLC Current Accepting new patients

Locations

14300 SW Pacific Hwy
Tigard, OR 97224
Phone (503) 639-4330

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1073138558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243665",
            "telephone_number": "503-639-4330",
            "fax_number": "503-639-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243665",
            "telephone_number": "503-639-4330",
            "fax_number": "503-639-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "MIJIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.