Active NPI
Clarice Jaclyn Choi
- Orthodontics and Dentofacial Orthopedics Dentistry
- Derby, CT
National Provider Identifier
1700565769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 13916
- Practice address
- 36 Division St
Derby, CT 06418-1447 - Phone
- (475) 339-7997
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13916 | CT | MD | Dentist |
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13916 | CT | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 13916 | CT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
NPPES NPI RegistryPrimary practice location
36 Division St
Derby, CT 06418-1447
Mailing address
36 Division St
Derby, CT 06418-1447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2025.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760832000000",
"number": "1700565769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 DIVISION ST",
"city": "DERBY",
"state": "CT",
"postal_code": "064181447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 DIVISION ST",
"city": "DERBY",
"state": "CT",
"postal_code": "064181447",
"telephone_number": "475-339-7997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "CLARICE",
"middle_name": "JACLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2025-10-19",
"certification_date": "2025-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "13916",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CT",
"license": "13916",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.