Organization Active NPI

Mike W Choe DDS PA

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1245436237
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6412 Issued in NC
Legal business name
MIKE W CHOE DDS PA
Practice address
265 Westlake Rd
Fayetteville, NC 28314-4800
Phone
(910) 864-2944
Fax
(910) 864-1493
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Dr. Mike Wansik Choe, DDS PA
Title
President
Phone
(910) 864-2944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6412 NC Primary

Addresses

Primary practice location

265 Westlake Rd
Fayetteville, NC 28314-4800

Mailing address

265 Westlake Rd
Fayetteville, NC 28314-4800
Phone (910) 864-2944

Other names 1

  • Westlake Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

265 Westlake Rd
Fayetteville, NC 28314
Phone (910) 864-2944

265 Westlake Rd
Ste 101
Fayetteville, NC 28314
Phone (910) 864-2944

Practitioners & affiliated clinicians

Practitioners 2

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": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1245436237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 WESTLAKE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144800",
            "telephone_number": "910-864-2944",
            "fax_number": "910-864-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 WESTLAKE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144800",
            "telephone_number": "910-864-2944",
            "fax_number": "910-864-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE W CHOE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "WANSIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-864-2944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.