Individual provider Active NPI

Cheol M. Choi, DMD

  • Pediatric Dentistry
  • Portland, OR
National Provider Identifier
1588051353
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11208 Issued in OR
Practice address
10300 SE Washington St Ste C101
Portland, OR 97216-2805
Phone
(503) 776-3091
NPI assigned
Apr 20, 2015
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11208 OR Primary

Addresses

Primary practice location

10300 SE Washington St Ste C101
Portland, OR 97216-2805

Mailing address

244 E Ellendale Ave Ste 4
Dallas, OR 97338-1523
Phone (971) 239-1624

Other practice location 1

244 E Ellendale Ave Ste 4
Dallas, OR 97338-1523
Phone (971) 239-1624

Other practice location 2

1025 SW Woods St Unit B
Portland, OR 97239-3099
Phone (919) 607-3940

Other practice location 3

155 Hickory St NW # A
Albany, OR 97321-1724
Phone (541) 928-1509

Other practice location 4

8250 N Cortaro Rd Ste 110
Tucson, AZ 85743-7304
Phone (520) 579-0900

Other practice location 5

9565 E 22nd St Ste 143
Tucson, AZ 85748
Phone (520) 885-5431

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
11208ORMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
McMinnville Pediatric Dentistry LLC Current Accepting new patients
Spanish Trail Pediatric Dental Partners, LLP General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1588051353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 E ELLENDALE AVE STE 4",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381523",
            "telephone_number": "971-239-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SE WASHINGTON ST STE C101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162805",
            "telephone_number": "503-776-3091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 E Ellendale Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "OR",
            "postal_code": "973381523",
            "country_code": "US",
            "telephone_number": "971-239-1624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 SW Woods St Unit B",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393099",
            "country_code": "US",
            "telephone_number": "919-607-3940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Hickory St NW # A",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211724",
            "country_code": "US",
            "telephone_number": "541-928-1509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8250 N Cortaro Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857437304",
            "country_code": "US",
            "telephone_number": "520-579-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9565 E 22nd St Ste 143",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85748",
            "country_code": "US",
            "telephone_number": "520-885-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CHEOL M.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "11208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.