Organization Active NPI

Mark Choi DDS Inc

  • Dental Clinic/Center
  • Fairfield, CA
National Provider Identifier
1457592958
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
41904 Issued in CA
Legal business name
MARK CHOI DDS INC
Practice address
2500 N Texas St
Suite C
Fairfield, CA 94533-1639
Phone
(707) 422-8360
NPI assigned
Mar 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Mark ChoiNPI 1821175514
Title
President
Phone
(707) 422-8360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 41904 CA Primary

Addresses

Primary practice location

2500 N Texas St
Suite C
Fairfield, CA 94533-1639

Mailing address

2500 N Texas St
Fairfield, CA 94533-1639

National Provider Directory

National Provider Directory

Locations

2500 N Texas St
Ste C
Fairfield, CA 94533
Phone (707) 422-8360

2500 N Texas St
Fairfield, CA 94533

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1457592958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N TEXAS ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N TEXAS ST",
            "address_2": "SUITE C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331639",
            "telephone_number": "707-422-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK CHOI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-422-8360",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.