Organization Active NPI

Jieun Choi DMD, PLLC

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1609234178
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JIEUN CHOI DMD, PLLC
Practice address
9202 Barker Cypress Rd
115
Cypress, TX 77433-5290
Phone
(281) 861-0440
Fax
(281) 861-0110
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Ms. Jieun Choi, D.M.D.
Title
Owner
Phone
(281) 861-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X TX Primary

Addresses

Primary practice location

9202 Barker Cypress Rd
115
Cypress, TX 77433-5290

Mailing address

9202 Barker Cypress Rd
115
Cypress, TX 77433-5290
Phone (281) 861-0440

Other identifiers 1

IdentifierTypeStateIssuer
1053630632OtherTXINDIVIDUAL NPI

Other names 1

  • Lakeside Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9202 Barker Cypress Rd
Ste 115
Cypress, TX 77433
Phone (832) 800-1550

Practitioners & affiliated clinicians

Practitioners 1

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": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1609234178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 BARKER CYPRESS RD",
            "address_2": "115",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335290",
            "telephone_number": "281-861-0440",
            "fax_number": "281-861-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 BARKER CYPRESS RD",
            "address_2": "115",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335290",
            "telephone_number": "281-861-0440",
            "fax_number": "281-861-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIEUN CHOI DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JIEUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-861-0440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1053630632",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.