Individual provider Active NPI

Sue Choi, D.D.S, M.P.H.

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1356605745
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.023725 Issued in OH
Practice address
1685 Lockbourne Rd
Columbus, OH 43207-1476
Phone
(614) 444-9849
Fax
(614) 444-0811
NPI assigned
Jun 29, 2012
Last updated
Jun 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.023725 OH Primary

Addresses

Primary practice location

1685 Lockbourne Rd
Columbus, OH 43207-1476

Mailing address

1685 Lockbourne Rd
Columbus, OH 43207-1476
Phone (614) 444-9849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160210002872 OH Order and Referring Only - DentistPractitioner - Dentist 3870897895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.023725OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Westerville Dental Associates LLC - Sue Y Choi DDS & Yuchan K Son DDS CurrentSince Jul 1, 2019 Accepting new patients
Cooperating Dental Management Group Inc. General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1356605745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 LOCKBOURNE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071476",
            "telephone_number": "614-444-9849",
            "fax_number": "614-444-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 LOCKBOURNE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071476",
            "telephone_number": "614-444-9849",
            "fax_number": "614-444-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.