Organization Active NPI

Jay Choi Dental Corporation

  • Dentist
  • San Jose, CA
National Provider Identifier
1174903439
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40422 Issued in CA
Legal business name
JAY CHOI DENTAL CORPORATION
Practice address
20445 Prospect Rd Ste 5
San Jose, CA 95129-4663
Phone
(408) 255-8270
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Jay ChoiNPI 1588995898
Title
President
Phone
(408) 255-8270

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 40422 CA Primary

Addresses

Primary practice location

20445 Prospect Rd Ste 5
San Jose, CA 95129-4663

Mailing address

20445 Prospect Rd Ste 5
San Jose, CA 95129-4663
Phone (408) 255-8270

National Provider Directory

National Provider Directory

Locations

20445 Prospect Rd
Ste 5
San Jose, CA 95129
Phone (408) 255-8270

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": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1174903439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20445 PROSPECT RD STE 5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294663",
            "telephone_number": "408-255-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20445 PROSPECT RD STE 5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294663",
            "telephone_number": "408-255-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY CHOI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-255-8270"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.