Individual provider Active NPI

Sonya Tung Choi, DDS

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1710570692
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14038 Issued in NC
Practice address
5835 E Still Cir
Mesa, AZ 85206-3618
Phone
(480) 248-8107
NPI assigned
Feb 11, 2021
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D011272 AZ
General Practice Dentistry 1223G0001X 14038 NC Primary

Addresses

Primary practice location

5835 E Still Cir
Mesa, AZ 85206-3618

Mailing address

1525 E Baseline Rd Apt 99
Tempe, AZ 85283-1421

Other practice location 1

2617 S Horner Blvd
Sanford, NC 27332-8032
Phone (919) 774-1993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217000678 NC Order and Referring Only - DentistPractitioner - Dentist 4981134244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D011272AZMDDentist
14038NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Dental Inc General Practice Past Accepting new patients
Lane & Associates XV DDS PA General Practice PastSince May 29, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1710570692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E BASELINE RD APT 99",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 E STILL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063618",
            "telephone_number": "480-248-8107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2617 S Horner Blvd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273328032",
            "country_code": "US",
            "telephone_number": "919-774-1993",
            "fax_number": "919-774-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SONYA",
        "middle_name": "TUNG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011272",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.