Individual provider Active NPI

Bong Seok Choi

  • Dentist
  • Bethesda, MD
National Provider Identifier
1659264117
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18651 Issued in MD
Practice address
8201 Wisconsin Ave
Bethesda, MD 20814-3101
Phone
(301) 907-8201
NPI assigned
Jun 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18651 MD Primary

Addresses

Primary practice location

8201 Wisconsin Ave
Bethesda, MD 20814-3101

Mailing address

5159 Pooks Hill Rd Apt 1510
Bethesda, MD 20814-5607
Phone (562) 400-9737

Other practice location 1

5005 Signal Bell Ln Ste 101
Clarksville, MD 21029-2607
Phone (443) 535-8940

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

LicenseStateTypeSpecialty
18651MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Dental Past Accepting new patients
WWW Smiles, LLC Dentist PastSince Jun 8, 2025 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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1659264117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5159 POOKS HILL RD APT 1510",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145607",
            "telephone_number": "562-400-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143101",
            "telephone_number": "301-907-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 Signal Bell Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "MD",
            "postal_code": "210292607",
            "country_code": "US",
            "telephone_number": "443-535-8940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "BONG SEOK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.