Active NPI
Junyoung Choi
- General Practice Dentistry
- Thomaston, ME
National Provider Identifier
1558061879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN5172
- Practice address
- 17 Thomaston Commons Way
Thomaston, ME 04861-3524 - Phone
- (207) 593-1379
- NPI assigned
- Mar 6, 2023
- Last updated
- Jul 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN5172 | ME | Primary |
Addresses
Primary practice location
17 Thomaston Commons Way
Thomaston, ME 04861-3524
Mailing address
554 Massachusetts Ave Apt 2R
Boston, MA 02118-4349
Phone (617) 468-8986
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 |
|---|---|---|---|
| DEN5172 | ME | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1558061879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 MASSACHUSETTS AVE APT 2R",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184349",
"telephone_number": "617-468-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 THOMASTON COMMONS WAY",
"city": "THOMASTON",
"state": "ME",
"postal_code": "048613524",
"telephone_number": "207-593-1379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "JUNYOUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-06",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ME",
"license": "DEN5172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomaston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.