Active NPI
Jae Yong Choi, JAE CHOI, DDS
- Periodontics
- Menifee, CA
National Provider Identifier
1659690451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 56939
- Practice address
- 26910 Newport Rd
Suite B
Menifee, CA 92584-9080 - Phone
- (951) 672-7878
- NPI assigned
- May 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 56939 | CA | Primary |
Addresses
Primary practice location
26910 Newport Rd
Suite B
Menifee, CA 92584-9080
Mailing address
27490 Glenwood Dr
Mission Viejo, CA 92692-5005
Phone (310) 593-1130
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 |
|---|---|---|---|
| 56939 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284249600000",
"number": "1659690451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27490 GLENWOOD DR",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926925005",
"telephone_number": "310-593-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26910 NEWPORT RD",
"address_2": "SUITE B",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925849080",
"telephone_number": "951-672-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "JAE",
"middle_name": "YONG",
"name_prefix": "Dr.",
"credential": "JAE CHOI, DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2010-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "56939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.