Active NPI
Joseph Kyungjo Choi, D.D.S.
- Dentist
- Garden Grove, CA
National Provider Identifier
1376761429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS54345
- Practice address
- 9636 Garden Grove Blvd
Garden Grove, CA 92844-1530 - Phone
- (714) 590-2828
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS54345 | CA | Primary |
| Dentist | 122300000X | 019-023417 | IL |
Addresses
Primary practice location
9636 Garden Grove Blvd
Garden Grove, CA 92844-1530
Mailing address
670 S Gentry LN
Anaheim, CA 92807-3653
Phone (714) 356-8373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS54345 | CA | MD | Dentist |
| 019-023417 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1376761429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 S GENTRY LN",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073653",
"telephone_number": "714-356-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9636 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441530",
"telephone_number": "714-590-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "JOSEPH",
"middle_name": "KYUNGJO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS54345",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-023417",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.