Demian Choi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104867 Issued in CA

Practice address

2071 Rancho Valley Dr Ste 140
Pomona, CA 91766-7105

Phone

(909) 374-1815

NPI assigned

May 25, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Demian Choi DDS, Inc

  • Dental Clinic/Center
  • La Verne, CA
  • NPI 1568160935
  NPD Authorized official
• Awad and Moore Dental Corporation

  • Dentist
  • Pomona, CA
  • NPI 1033506282
  NPD (past)
• Oliver G Cabrera, DDS, PC

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1679076996
  NPD (past)

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1497283170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 RANCHO VALLEY DR STE 140",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917667105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 RANCHO VALLEY DR STE 140",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917667105",
            "telephone_number": "909-374-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "DEMIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059968",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amberlie Choi
• Anthony Sungwoo Choi
• Daniel Choi
• David A Choi, DDS
• David Dongwook Choi, M.D.
• Jimin Choi
• Jong Choi
• Jun Sun Choi, LAC
• Ki Sun Choi, DMD
• Madeleine Choi

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.