Individual provider Active NPI

Wooyoung Choi, DMD

  • Dentist
  • Plainfield, IL
National Provider Identifier
1093320186
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.032908 Issued in IL
Practice address
13400 Illinois Rte 59 #104
Plainfield, IL 60585
Phone
(815) 867-6697
NPI assigned
Sep 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.032908 IL Primary

Addresses

Primary practice location

13400 Illinois Rte 59 #104
Plainfield, IL 60585

Mailing address

13400 S Route 59 Unit 104
Plainfield, IL 60585-5838
Phone (310) 738-4770

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
019.032908ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Family Dental Office PC Current Accepting new patients
Choi Family Dental CurrentSince Feb 4, 2024 Accepting new patients
Smile Family Dental Joliet PC CurrentSince Nov 3, 2024 Accepting new patients
Dental Professionals of Illinois, P.C. PastSince Sep 1, 2020 Accepting new patients

Locations

13400 S Route 59
Unit 104
Plainfield, IL 60585
Phone (312) 217-2223

Organizations & group practices 4

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1093320186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 S ROUTE 59 UNIT 104",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855838",
            "telephone_number": "310-738-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 ILLINOIS RTE 59 #104",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60585",
            "telephone_number": "815-867-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "WOOYOUNG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.