Individual provider Active NPI

Christopher Choi, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Rancho Cucamonga, CA
National Provider Identifier
1326214941
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
OMS102 Issued in CA
Practice address
8112 Milliken Ave
Ste 102
Rancho Cucamonga, CA 91730-7471
Phone
(909) 581-7761
NPI assigned
May 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 60 257968 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 50 053256 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X OMS102 CA Primary
Surgery Physician 208600000X A124593 CA

Addresses

Primary practice location

8112 Milliken Ave
Ste 102
Rancho Cucamonga, CA 91730-7471

Mailing address

8112 Milliken Ave
Ste 102
Rancho Cucamonga, CA 91730-7471
Phone (909) 581-7761

Other identifiers 1

IdentifierTypeStateIssuer
02866815MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140805002390 CA Practitioner - Maxillofacial SurgeryPractitioner - Podiatry 2365669983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OMS102CAMDOral and Maxillofacial Surgery (Dentist)
50 053256NYMDOral and Maxillofacial Surgery (Dentist)
60 257968NYMDOral & Maxillofacial Surgery (D.M.D.)
A124593CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cal Med Physicians and Surgeons, Inc. Oral & Maxillofacial Surgery CurrentSince Jun 1, 2014 Accepting new patients
Inland Empire Oral and Maxillofacial Surgeons Oral and Maxillofacial Surgery Past Accepting new patients

Locations

400 N Pepper Ave
Ste 308
Colton, CA 92324
Phone (909) 580-1366

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1326214941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE",
            "address_2": "STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307471",
            "telephone_number": "909-581-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE",
            "address_2": "STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307471",
            "telephone_number": "909-581-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-03",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "60 257968",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "50 053256",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS102",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A124593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02866815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.