Active NPI
Westerville Dental Associates LLC - Sue Y Choi DDS & Yuchan K Son DDS
- Dental Clinic/Center
- Westerville, OH
National Provider Identifier
1184280943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- WESTERVILLE DENTAL ASSOCIATES LLC - SUE Y CHOI DDS & YUCHAN K SON DDS
- Practice address
- 627 Office Pkwy Ste a
Westerville, OH 43082-7812 - Phone
- (614) 882-1135
- NPI assigned
- May 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Choi, DDS
- Title
- Dentist
- Phone
- (614) 882-1135
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
627 Office Pkwy Ste a
Westerville, OH 43082-7812
Mailing address
627 Office Pkwy Ste a
Westerville, OH 43082-7812
Phone (614) 882-1135
Other names 1
- Westerville Dental Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210319000130 | OH | DME Supplier - Oral Surgery - Dentist | 2668889635 | Practice locations: Westerville, OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Columbus, OH
- NPI 1356605745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609977600000",
"number": "1184280943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 OFFICE PKWY STE A",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827812",
"telephone_number": "614-882-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 OFFICE PKWY STE A",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827812",
"telephone_number": "614-882-1135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERVILLE DENTAL ASSOCIATES LLC - SUE Y CHOI DDS & YUCHAN K SON DDS",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-16",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "614-882-1135",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Westerville Dental Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westerville, OH
- Westerville Chiropractic & Physical Therapy Center
- Westerville Chiropractic, Inc.
- Westerville City School District
- Westerville Counseling and Wellness
- Westerville Dental Associates Brian C Stickel DDS Inc
- Westerville Dental Studio
- Westerville Dermatology, Inc.
- Westerville Endoscopy Center LLC
- Westerville Eyecare Inc
- Westerville Facility Operations, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.