Active NPI
Jaeyoung Choi
- General Practice Dentistry
- Baltimore, MD
National Provider Identifier
1750149969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18494
- Practice address
- 2401 Belair Rd Ste 104
Baltimore, MD 21213-1200 - Phone
- (410) 522-5777
- NPI assigned
- Mar 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18494 | MD | Primary |
Addresses
Primary practice location
2401 Belair Rd Ste 104
Baltimore, MD 21213-1200
Mailing address
2401 Belair Rd Ste 104
Baltimore, MD 21213-1200
Phone (410) 522-5777
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 |
|---|---|---|---|
| 18494 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Dreams, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Baltimore, MD
- NPI 1417278235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1750149969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 BELAIR RD STE 104",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212131200",
"telephone_number": "410-522-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 BELAIR RD STE 104",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212131200",
"telephone_number": "410-522-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "JAEYOUNG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-12",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "18494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.