Individual provider Active NPI

Salon Choi, DMD

  • General Practice Dentistry
  • Bayside, NY
National Provider Identifier
1457849382
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060674 Issued in NY
Practice address
21435 42ND Ave
Bayside, NY 11361-2993
Phone
(718) 352-5582
NPI assigned
Apr 26, 2018
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 060674 NY Primary

Addresses

Primary practice location

21435 42ND Ave
Bayside, NY 11361-2993

Mailing address

21946 64TH Ave Apt B
Oakland Gardens, NY 11364-2273
Phone (315) 489-6701

Other practice location 1

8268 164th St Ste 214
Jamaica, NY 11432-1121
Phone (718) 883-4043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190305000346 NY Order and Referring Only - DentistPractitioner - Dentist 7416296728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060674NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Dental Care General Practice PastSince Feb 14, 2021 Accepting new patients
Arista Dental Care, PC General Practice PastSince Feb 14, 2021 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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1457849382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21946 64TH AVE APT B",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642273",
            "telephone_number": "315-489-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21435 42ND AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612993",
            "telephone_number": "718-352-5582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8268 164th St Ste 214",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114321121",
            "country_code": "US",
            "telephone_number": "718-883-4043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SALON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.