Elisa Jungeun Choi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6340-015 Issued in WI

Practice address

3030 N Ballard Rd
Appleton, WI 54911-8707

Phone

(920) 954-8085

NPI assigned

Mar 27, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1295853000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 N TURNBERRY DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138680",
            "telephone_number": "920-202-3921",
            "fax_number": "920-202-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N BALLARD RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118707",
            "telephone_number": "920-954-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "ELISA",
        "middle_name": "JUNGEUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025791",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6340-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005537",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shan H Chien, M.D.
• Children'S Dental Health Center, S.C.
• Children'S Health System
• Children'S Hospital of Wisconsin
• Chiropractic Health of Appleton, LLC
• Jhelum Choubey, D.D.S.
• Chris Boyson Chiropractic
• Chris M Weinlander, MD SC
• Cheryl E Christensen, APNP
• Deanna Lynn Christensen, MSSW1203

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.