Active NPI
Andrew Simon Choi, D.C.
- Chiropractor
- Gaithersburg, MD
National Provider Identifier
1770663544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009719
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| X009719 | NY | MD | Chiropractor |
| 03473 | MD | MD | Rehabilitation Chiropractor |
| 0104556400 | VA | MD | Rehabilitation 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.