Active NPI
Alicia Yoon Kyung Choi, D.M.D
- Periodontics
- Fort Sill, OK
National Provider Identifier
1528349271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN1855688
- Practice address
- 605 Randolph Rd
Fort Sill, OK 73503-4535 - Phone
- (580) 442-5925
- NPI assigned
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1855688 | MA | |
| Periodontics | 1223P0300X | DN1855688 | MA | Primary |
Addresses
Primary practice location
605 Randolph Rd
Fort Sill, OK 73503-4535
Mailing address
605 Randolph Rd
Fort Sill, OK 73503-4535
Phone (580) 442-5925
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 |
|---|---|---|---|
| DN1855688 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1528349271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 RANDOLPH RD",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034535",
"telephone_number": "580-442-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 RANDOLPH RD",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034535",
"telephone_number": "580-442-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "ALICIA",
"middle_name": "YOON KYUNG",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1855688",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DN1855688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.