Individual provider Active NPI

Russell Takashi Choy

  • Pediatric Dentistry
  • Farmers Branch, TX
National Provider Identifier
1184056160
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
29352 Issued in TX
Practice address
2740 Valwood Pkwy Ste 144
Farmers Branch, TX 75234-3562
Phone
(805) 455-2005
NPI assigned
Aug 1, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29352 TX
Pediatric Dentistry 1223P0221X 29352 TX Primary

Addresses

Primary practice location

2740 Valwood Pkwy Ste 144
Farmers Branch, TX 75234-3562

Mailing address

2740 Valwood Pkwy Ste 144
Dallas, TX 75234-3562
Phone (805) 455-2005

Other practice location 1

6300 West Loop S Ste 650
Bellaire, TX 77401-2997
Phone (805) 455-2005

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
29352TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DC Dental Associates of Fort Worth PLLC Pediatric Dentistry Current Accepting new patients
DC Dental Associates of Mesquite PLLC Current Accepting new patients
DC Dental Associates Dentist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184056160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 VALWOOD PKWY STE 144",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752343562",
            "telephone_number": "805-455-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 VALWOOD PKWY STE 144",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752343562",
            "telephone_number": "805-455-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 West Loop S Ste 650",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774012997",
            "country_code": "US",
            "telephone_number": "805-455-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOY",
        "first_name": "RUSSELL",
        "middle_name": "TAKASHI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29352",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "29352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.