Individual provider Active NPI

Harold H Choi, D.D.S

  • Dentist
  • Santa Maria, CA
National Provider Identifier
1619179900
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45100 Issued in CA
Practice address
802 E Main St
Santa Maria, CA 93454-5329
Phone
(805) 928-3333
Fax
(805) 623-8524
NPI assigned
May 31, 2007
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45100 CA Primary

Addresses

Primary practice location

802 E Main St
Santa Maria, CA 93454-5329

Mailing address

802 E Main St
Santa Maria, CA 93454-5329
Phone (805) 928-3333

Other practice location 1

4723 W Main St Ste C
Guadalupe, CA 93434-1787
Phone (805) 343-9500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
45100CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Choi DDS WC1, PC Dentist Current Accepting new patients
Harold Haksun Choi D.D.S Inc. Past Accepting new patients
Harold Choi DDS Inc. Dentist Past Accepting new patients

Organizations & group practices 5

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1619179900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545329",
            "telephone_number": "805-928-3333",
            "fax_number": "805-623-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545329",
            "telephone_number": "805-928-3333",
            "fax_number": "805-623-8524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4723 W Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Guadalupe",
            "state": "CA",
            "postal_code": "934341787",
            "country_code": "US",
            "telephone_number": "805-343-9500",
            "fax_number": "805-343-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "HAROLD",
        "middle_name": "H",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.