Individual provider Active NPI

David Y Choi, D.D.S.

  • Prosthodontics
  • Riverside, CA
National Provider Identifier
1750302246
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
42814 Issued in CA
Practice address
6216 Brockton Ave Ste 112
Riverside, CA 92506-2208
Phone
(951) 779-8862
Fax
(951) 779-0629
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 42814 CA Primary

Addresses

Primary practice location

6216 Brockton Ave Ste 112
Riverside, CA 92506-2208

Mailing address

6216 Brockton Ave Ste 112
Riverside, CA 92506-2208
Phone (951) 779-8862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160304001528 CA Order and Referring Only - DentistPractitioner - Dentist 4284930041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42814CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Davi Y Choi DDS Corp Prosthodontics PastSince Aug 14, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1750302246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 BROCKTON AVE STE 112",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062208",
            "telephone_number": "951-779-8862",
            "fax_number": "951-779-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 BROCKTON AVE STE 112",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062208",
            "telephone_number": "951-779-8862",
            "fax_number": "951-779-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "DAVID",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "42814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.