Karen Choi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

057489 Issued in NY

Practice address

1111 E Walnut St Ste B
Carbondale, IL 62901-5000

Phone

(618) 529-2571

NPI assigned

Aug 27, 2014

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 20, 2021 through Aug 20, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Billy B. Laun II, DDS, PC

  dba Oral & Maxillofacial Surgery of Carbondale, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Carbondale, IL
  • NPI 1194381640
  NPD
• Frederick Gustave, D.D.S., PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Carbondale, IL
  • NPI 1477720985
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1265832240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E WALNUT ST STE B",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E WALNUT ST STE B",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015000",
            "telephone_number": "618-529-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032848",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Kingston Chevalier, MD
• Child and Adolescent Neuropsychology Services of Southern Illinois, PL
• Vamsi Krishna Chilluru, M.B.B.S
• Michael A. Chipman, D.O.
• Sahitya Chiramana, DMD
• Choices Medical Services, PC (CHOICES Carbondale Medical Services)
• William Chotas, M.D.
• Lisa Christeson, LPC, NCC
• Christian Social Services of Illinois
• Gordon KT Chu, M.D.

• General Practice Dentistry in Carbondale, IL
• Providers in Carbondale, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.