NPIMap

Organization Active NPI

Edwards & Choi DDS, Inc.

  • General Practice Dentistry
  • Walla Walla, WA
National Provider Identifier
1093093205
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60115108 Issued in WA
Legal business name
EDWARDS & CHOI DDS, INC.
Practice address
614 E. Alder St.
Suite #3
Walla Walla, WA 99362-2073
Phone
(509) 526-7012
Fax
(509) 526-7013
NPI assigned
Jul 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Eunduk Choi, D.D.S.NPI 1619123817
Title
Director
Phone
(509) 526-7012

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60115108 WA Primary

Addresses

Primary practice location

614 E. Alder St.
Suite #3
Walla Walla, WA 99362-2073

Mailing address

614 E. Alder St.
Suite #3
Walla Walla, WA 99362-2073
Phone (509) 526-7012

National Provider Directory

National Provider Directory

Locations

614 E Alder St
Ste 3
Walla Walla, WA 99362
Phone (509) 526-7012

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": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1093093205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E. ALDER ST.",
            "address_2": "SUITE #3",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622073",
            "telephone_number": "509-526-7012",
            "fax_number": "509-526-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E. ALDER ST.",
            "address_2": "SUITE #3",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622073",
            "telephone_number": "509-526-7012",
            "fax_number": "509-526-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS & CHOI DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "EUNDUK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-526-7012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60115108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.