Active NPI
Su-Young Jane Choi, DDS
- Dentist
- Federal Way, WA
National Provider Identifier
1427692987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61005013
- Practice address
- 2016 S 320TH St Ste F
Federal Way, WA 98003-5445 - Phone
- (253) 839-8106
- NPI assigned
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE61005013 | WA | Primary |
Addresses
Primary practice location
2016 S 320TH St Ste F
Federal Way, WA 98003-5445
Mailing address
2016 S 320TH St Ste F
Federal Way, WA 98003-5445
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 |
|---|---|---|---|
| DE61005013 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Su-Young Choi DDS, PLLC. | Current | Accepting new patients | |
| Su-Young Choi PLLC | Current | Accepting new patients | |
| Federal Way Dental Clinic | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Bonney Lake Rainier
- General Practice Dentistry
- Bonney Lake, WA
- NPI 1689458473
-
- Preferred Provider Organization
- Federal Way, WA
- NPI 1760936637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1427692987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 S 320TH ST STE F",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 S 320TH ST STE F",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035445",
"telephone_number": "253-839-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "SU-YOUNG",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61005013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.