Choi Periodontics Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021002061 Issued in IL

Legal business name

CHOI PERIODONTICS INC

Practice address

505 N Lake Shore Dr
#215
Chicago, IL 60611-3427

Phone

(312) 467-3201

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Young Choi, D.M.D., M.S.

Title

Owner

Phone

(312) 467-3201

Specialties & licenses 2

Addresses

Other names 1

• Lake Point Tower Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyung-Soo Choi, DDS

  • Endodontics
  • Chicago, IL
  • NPI 1659624153

  General Practice

  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1205109188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N LAKE SHORE DR",
            "address_2": "#215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113427",
            "telephone_number": "312-961-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N LAKE SHORE DR",
            "address_2": "#215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113427",
            "telephone_number": "312-467-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOI PERIODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-467-3201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025040",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021002061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Point Tower Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudia S Choe, DNP, RN
• Minkyu Choe
• Seana Lee Choe, APN
• Jeffrey T Choh, M.D.
• Abeer Chohan
• Jenny Choi-Warner, LCSW
• Albert F Choi, O.D.
• Alexander Jaehyuk Choi, M.D., M.P.H.
• Alice Choi, APRN
• Ashley Choi, DMD

• Periodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.