Individual provider Active NPI

Yongchang Choi, D.D.S., M.S., PHD

  • General Practice Dentistry
  • Federal Way, WA
National Provider Identifier
1669725610
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60126815 Issued in WA
Practice address
33838 Pacific Hwy S Ste B101
Federal Way, WA 98003-6887
Phone
(253) 838-4363
Fax
(253) 838-8805
NPI assigned
Oct 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60126815 WA Primary

Addresses

Primary practice location

33838 Pacific Hwy S Ste B101
Federal Way, WA 98003-6887

Mailing address

16705 SE 63Rd PL
Bellevue, WA 98006-5640
Phone (909) 583-1881

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
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DE60126815WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1669725610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16705 SE 63RD PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065640",
            "telephone_number": "909-583-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33838 PACIFIC HWY S STE B101",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036887",
            "telephone_number": "253-838-4363",
            "fax_number": "253-838-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "YONGCHANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60126815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.