Jaewoong Choi, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

55270 Issued in CA

Practice address

20410 Town Center LN Ste 190
Cupertino, CA 95014-3230

Phone

(408) 426-2635

Fax

(408) 899-4773

NPI assigned

Sep 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Jaewoong Choi DDS, Inc.

  • Endodontics
  • Cupertino, CA
  • NPI 1073970554
  NPD (past) Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1184819484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 RINCON AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867565",
            "telephone_number": "425-894-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 TOWN CENTER LN STE 190",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143230",
            "telephone_number": "408-426-2635",
            "fax_number": "408-899-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JAEWOONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55270",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "55270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shruti Chitale, PTA
• Andre Chiu
• Choy-Pik Chiu, LAC, MS, PHD
• Evonne Chiu, DDS
• John Chiensing Chiu, M.D.
• Ye Rang Choi, LAC
• Tanvi J Chokshi
• Chong Ching Tang Corp.
• Bindu Chopra, M.D.
• Angel Chouk

• Endodontics in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.