Individual provider Active NPI

Cherry Choy, DMD

  • Dentist
  • Randolph Afb, TX
National Provider Identifier
1114447869
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35653 Issued in TX
Practice address
359 Medical Group
221 3Rd Street West
Randolph Afb, TX 78150
Phone
(210) 652-1846
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35653 TX Primary

Addresses

Primary practice location

359 Medical Group
221 3Rd Street West
Randolph Afb, TX 78150

Mailing address

4036 8TH Ave NE Apt D4
Seattle, WA 98105-6497
Phone (206) 694-3727

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
35653TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1114447869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 8TH AVE NE APT D4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056497",
            "telephone_number": "206-694-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 MEDICAL GROUP",
            "address_2": "221 3RD STREET WEST",
            "city": "RANDOLPH AFB",
            "state": "TX",
            "postal_code": "78150",
            "telephone_number": "210-652-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOY",
        "first_name": "CHERRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph Afb, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.