Organization Active NPI

John C. Choe DDS Inc

  • General Practice Dentistry
  • Banning, CA
National Provider Identifier
1700957180
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN C. CHOE DDS INC
Practice address
617 W Ramsey St
Banning, CA 92220-4919
Phone
(951) 849-4649
Fax
(951) 849-2386
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Julie Choe
Title
Secretary
Phone
(951) 849-4649

Specialties & licenses 1

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

Addresses

Primary practice location

617 W Ramsey St
Banning, CA 92220-4919

Mailing address

617 W Ramsey St
Banning, CA 92220-4919
Phone (951) 849-4649

Other identifiers 1

IdentifierTypeStateIssuer
G9372401OtherCAMEDICAL DENTICAL

National Provider Directory

National Provider Directory

Locations

617 W Ramsey St
Banning, CA 92220
Phone (951) 849-4649

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": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1700957180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204919",
            "telephone_number": "951-849-4649",
            "fax_number": "951-849-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204919",
            "telephone_number": "951-849-4649",
            "fax_number": "951-849-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. CHOE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-849-4649"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DENTICAL",
            "identifier": "G9372401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.