Dae Yong Choi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2017037274 Issued in MO

Practice address

2941 Highway K
O Fallon, MO 63368-7862

Phone

(636) 240-0115

Fax

(636) 272-7009

NPI assigned

Nov 16, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Missouri Dental Professionals, Richard Straus, DMD, PC

  • General Practice Dentistry
  • O Fallon, MO
  • NPI 1952521460
  NPD (past)

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1780197400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687862",
            "telephone_number": "636-240-0115",
            "fax_number": "636-272-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687862",
            "telephone_number": "636-240-0115",
            "fax_number": "636-272-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "DAE",
        "middle_name": "YONG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2017037274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Chen Cheng
• Cheryl L Held, DDS, Ms, PC
• Colleen Chiapel, LPC
• Chiro Co LLC
• Chiro One Wellness Center of O Fallon Missouri LLC
• Choice Flu Vaccinations
• Megan Christiansen
• Sam Christoferson
• Rachele Denise Chrum, MPT
• Elizabeth Cieslak

• Dentist in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.