Organization Active NPI

Dr. Choi, DMD, Inc.

  • Dentist
  • Oakland, CA
National Provider Identifier
1548817323
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. CHOI, DMD, INC.
Practice address
3511 International Blvd
Oakland, CA 94601-3521
Phone
(415) 990-1556
NPI assigned
Aug 26, 2019
Organization subpart
Yes
Parent organization
DR. CHOI, DMD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Dr. William Choi, DMD
Title
Ceo
Phone
(415) 990-1556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3511 International Blvd
Oakland, CA 94601-3521

Mailing address

1598 Washington Ave
San Leandro, CA 94577-4465

Other practice location 1

2813 Mission St
San Francisco, CA 94110-3907
Phone (415) 523-9235

National Provider Directory

National Provider Directory
Part of
Dr Choi DMD Inc

Locations

3511 International Blvd
Oakland, CA 94601
Phone (415) 990-1556

Practitioners & affiliated clinicians

Practitioners 6

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": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1548817323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 WASHINGTON AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013521",
            "telephone_number": "415-990-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2813 Mission St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103907",
            "country_code": "US",
            "telephone_number": "415-523-9235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. CHOI, DMD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. CHOI, DMD, INC.",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-990-1556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.