Individual provider Active NPI

Andrew Simon Choi, D.C.

  • Chiropractor
  • Gaithersburg, MD
National Provider Identifier
1770663544
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009719 Issued in NY
Practice address
973 Russell Ave Ste a
Gaithersburg, MD 20879-3292
Phone
(301) 740-8500
Fax
(301) 740-8505
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009719 NY Primary
Rehabilitation Chiropractor 111NR0400X 03473 MD
Rehabilitation Chiropractor 111NR0400X 0104556400 VA

Addresses

Primary practice location

973 Russell Ave Ste a
Gaithersburg, MD 20879-3292

Mailing address

973 Russell Ave Ste a
Gaithersburg, MD 20879-3292
Phone (301) 740-8500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009719NYMDChiropractor
03473MDMDRehabilitation Chiropractor
0104556400VAMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1770663544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 RUSSELL AVE STE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793292",
            "telephone_number": "301-740-8500",
            "fax_number": "301-740-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 RUSSELL AVE STE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793292",
            "telephone_number": "301-740-8500",
            "fax_number": "301-740-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "ANDREW",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009719",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "03473",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104556400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.