Choo-Soon Kua, DDS, FRCDC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901601147 Issued in MI

Practice address

32316 Five Mile Rd
Livonia, MI 48154-6109

Phone

(734) 523-8300

NPI assigned

Mar 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Great Expressions Dental Centers P C

  • Dentist
  • Bloomfield Hills, MI
  • NPI 1124164926
  NPD (past)
• Kossak Consulting LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Grosse Pointe Farms, MI
  • NPI 1679856637
  NPD (past)

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1447643283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GIRARD AVE APT 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733669",
            "telephone_number": "403-966-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32316 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546109",
            "telephone_number": "734-523-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 E 12 Mile Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480925667",
            "country_code": "US",
            "telephone_number": "586-573-7334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E Long Lake Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483042378",
            "country_code": "US",
            "telephone_number": "248-203-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUA",
        "first_name": "CHOO-SOON",
        "credential": "DDS, FRCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-17",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901601147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroger Co of Michigan
• Stephen Ettore Kronberg, MD
• Kalie Marie Krotchen
• Justin Krueger
• Cameron Scott Kruse
• Megan Marie Kub
• Kaela Jo Kubany
• Megan Kube, MD
• Jennifer Kuc, FNP-C
• Emily Kuczmarski, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Livonia, MI
• Providers in Livonia, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.