NPIMap

Organization Active NPI

Jaewoong Choi DDS, Inc.

  • Endodontics
  • Cupertino, CA
National Provider Identifier
1073970554
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
JAEWOONG CHOI DDS, INC.
Practice address
20410 Town Center LN Ste 190
Cupertino, CA 95014-3230
Phone
(408) 426-2635
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Jaewoong Choi, DDSNPI 1184819484
Title
President
Phone
(425) 894-5106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X CA Primary

Addresses

Primary practice location

20410 Town Center LN Ste 190
Cupertino, CA 95014-3230

Mailing address

450 Rincon Ave
Sunnyvale, CA 94086-7565
Phone (425) 894-5106

National Provider Directory

National Provider Directory

Locations

20410 Town Center Ln
Ste 190
Cupertino, CA 95014
Phone (408) 426-2635

Practitioners & affiliated clinicians

Practitioners 1

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": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1073970554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 RINCON AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867565",
            "telephone_number": "425-894-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 TOWN CENTER LN STE 190",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143230",
            "telephone_number": "408-426-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAEWOONG CHOI DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JAEWOONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-894-5106",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.