Kyung Duk Choi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58345 Issued in CA

Practice address

1025 Sentinel Dr Ste 202a
La Verne, CA 91750-3280

Phone

(909) 596-4811

NPI assigned

Jun 17, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lloyd V. Trieu, DDS, a Professional Corp

  • General Practice Dentistry
  • La Verne, CA
  • NPI 1396900627
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1679700561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SENTINEL DR STE 202A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503280",
            "telephone_number": "909-596-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SENTINEL DR STE 202A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503280",
            "telephone_number": "909-596-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "KYUNG DUK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine N Chen, RPH
• Zongyun Chen, OTR/L
• Carole Ishan Chiang, D.P.M.
• Craig Alan Childress, PSY.D.
• Tony Chin, OTR/L
• Leeann Chu, DDS
• City of la Verne
• Robin Lorinne Clarkson, MPT
• Dora Jeanette Cobian
• Carolyn Fuller Cockrell, LMFT

• General Practice Dentistry in La Verne, CA
• Providers in La Verne, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.