Active NPI
Daniel Choi, DDS
- Endodontics
- Phoenix, AZ
National Provider Identifier
1578069167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 10577
- Practice address
- 4212 N 16TH St
Phoenix, AZ 85016-5319 - Phone
- (602) 263-1200
- Fax
- (602) 263-1619
- NPI assigned
- Apr 2, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 10577 | AZ | Primary |
| Endodontics | 1223E0200X | 10342 | KY |
Addresses
Primary practice location
4212 N 16TH St
Phoenix, AZ 85016-5319
Mailing address
PO Box 95460
Cleveland, OH 44101-0033
Phone (602) 581-6076
Other practice location 1
6466 S Higley Rd Ste 101
Gilbert, AZ 85298-4335
Phone (480) 457-8283
Other practice location 2
6810 Dixie Hwy
Louisville, KY 40258-3914
Phone (502) 585-5351
Other practice location 3
130 Avenida Cabrillo
Suite B
San Clemente, CA 92672
Phone (909) 632-4794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10577 | AZ | MD | Endodontist |
| 10342 | KY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Gilbert Modern Dentistry and Orthodontics, LLP | General Practice | Past | Accepting new patients |
| Daniel a. Choi, DDS, Inc. | Endodontics | Past | Accepting new patients |
Locations
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
Organizations & group practices 4
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.
-
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Endodontics
- San Clemente, CA
- NPI 1215412853
-
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
- General Practice Dentistry
- Gilbert, AZ
- NPI 1740627744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1578069167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95460",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441010033",
"telephone_number": "602-581-6076",
"fax_number": "602-263-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 N 16TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165319",
"telephone_number": "602-263-1200",
"fax_number": "602-263-1619"
}
],
"practiceLocations": [
{
"address_1": "6466 S Higley Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852984335",
"country_code": "US",
"telephone_number": "480-457-8283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6810 Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402583914",
"country_code": "US",
"telephone_number": "502-585-5351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Avenida Cabrillo",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "San Clemente",
"state": "CA",
"postal_code": "92672",
"country_code": "US",
"telephone_number": "909-632-4794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOI",
"first_name": "DANIEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "10577",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KY",
"license": "10342",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.