Organization Active NPI

Su-Young Choi DDS, PLLC.

  • General Practice Dentistry
  • Bonney Lake, WA
National Provider Identifier
1689458473
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SU-YOUNG CHOI DDS, PLLC.
Practice address
18209 Wa-410
Suite 300
Bonney Lake, WA 98391
Phone
(253) 299-2492
NPI assigned
Aug 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Malia Ware
Title
HR
Phone
(253) 242-8816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18209 Wa-410
Suite 300
Bonney Lake, WA 98391

Mailing address

18209 Wa-410
Suite 300
Bonney Lake, WA 98391

Other names 1

  • Bonney Lake Rainier Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1689458473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18209 WA-410",
            "address_2": "SUITE 300",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "98391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18209 WA-410",
            "address_2": "SUITE 300",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "98391",
            "telephone_number": "253-299-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU-YOUNG CHOI DDS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "MALIA",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "253-242-8816"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonney Lake Rainier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.