Individual provider Active NPI

Andrea K Choi, DDS

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1699864348
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41715 Issued in CA
Practice address
10570 Foothill Blvd Ste 240
Rancho Cucamonga, CA 91730-3876
Phone
(909) 948-2000
Fax
(909) 948-2002
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11916 CA
General Practice Dentistry 1223G0001X 41715 CA Primary

Addresses

Primary practice location

10570 Foothill Blvd Ste 240
Rancho Cucamonga, CA 91730-3876

Mailing address

10570 Foothill Blvd Ste 240
Rancho Cucamonga, CA 91730-3876
Phone (909) 948-2000

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

LicenseStateTypeSpecialty
41715CAMDGeneral Practice Dentistry
AC11916CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Acupuncture a Professional Corporation Current Accepting new patients
Western Dental Services, Inc. Past Accepting new patients
Choi Professional Dental Corporation Past Accepting new patients

Locations

10570 Foothill Blvd
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 948-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1699864348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 FOOTHILL BLVD STE 240",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303876",
            "telephone_number": "909-948-2000",
            "fax_number": "909-948-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 FOOTHILL BLVD STE 240",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303876",
            "telephone_number": "909-948-2000",
            "fax_number": "909-948-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "ANDREA",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11916",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.