Active NPI
Grace Haen Choi, DDS
- Dentist
- Granbury, TX
National Provider Identifier
1649970732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40530
- Practice address
- 1400 E US Highway 377
Granbury, TX 76048-2646 - Phone
- (682) 498-4143
- NPI assigned
- Mar 7, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 40530 | TX | Primary |
Addresses
Primary practice location
1400 E US Highway 377
Granbury, TX 76048-2646
Mailing address
5543 Edwards Ranch Rd Apt 5318
Fort Worth, TX 76109-4196
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 |
|---|---|---|---|
| 40530 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719100800000",
"number": "1649970732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5543 EDWARDS RANCH RD APT 5318",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E US HIGHWAY 377",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760482646",
"telephone_number": "682-498-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "GRACE",
"middle_name": "HAEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2024-06-23",
"certification_date": "2024-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "40530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.