Organization Active NPI

Jerome Choe Dental Corporation

  • Dental Clinic/Center
  • Irvine, CA
National Provider Identifier
1114743671
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEROME CHOE DENTAL CORPORATION
Doing business as
Cottonful Dental
Practice address
16520 Bake Pkwy Ste 155
Irvine, CA 92618-4694
Phone
(949) 648-8658
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Jerome Insurb Choe, DDSNPI 1619757788
Title
Ceo
Phone
(949) 648-8658

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

16520 Bake Pkwy Ste 155
Irvine, CA 92618-4694

Mailing address

16520 Bake Pkwy Ste 155
Irvine, CA 92618-4694
Phone (949) 648-8658

Other names 1

  • Cottonful Dental Doing business as

National Provider Directory

National Provider Directory

Locations

16520 Bake Pkwy
Ste 155
Irvine, CA 92618
Phone (949) 648-8658

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": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1114743671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 BAKE PKWY STE 155",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184694",
            "telephone_number": "949-648-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16520 BAKE PKWY STE 155",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184694",
            "telephone_number": "949-648-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME CHOE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "INSURB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-648-8658",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottonful Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.