Simon Kyuseok Choyee, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

57684 Issued in CA

Practice address

170 W Dayton St # 3015
Pasadena, CA 91105-4517

Phone

(310) 999-8708

NPI assigned

Jan 11, 2009

Last updated

Sep 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1669619763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W DAYTON ST # 3015",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W DAYTON ST # 3015",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054517",
            "telephone_number": "310-999-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOYEE",
        "first_name": "SIMON",
        "middle_name": "KYUSEOK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-11",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "57684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Chow
• Linda Chow
• Choy-Unruh Chiropractic, Inc. (Pacific Chiropractic)
• Tiffany W. Choy-Unruh, D.C.
• Martin Galen Choy, D.C.
• Chris and Glorias Space LLC
• Timothy N. Chrisney, PHARMD
• Ana Christian
• Stratos Christianakis, M.D.
• Christine K. Won, MD, a California Medical Corporation

• Oral and Maxillofacial Surgery (Dentist) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.