Chunkeun Choi DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHUNKEUN CHOI DDS INC

Practice address

2121 Redwood St Ste a
Vallejo, CA 94590-3603

Phone

(707) 644-7600

Fax

(707) 450-0734

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Chunkeun Choi, DDSNPI 1013180520

Title

Sole Owner

Phone

(707) 480-8867

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Chunkeun Choi DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chunkeun Choi DDS Inc

  • Dental Clinic/Center
  • Vacaville, CA
  • NPI 1821414095
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chunkeun Choi, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Vacaville, CA
  • NPI 1013180520
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1801212691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 REDWOOD ST STE A",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903603",
            "telephone_number": "707-644-7600",
            "fax_number": "707-450-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 REDWOOD ST STE A",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903603",
            "telephone_number": "707-644-7600",
            "fax_number": "707-450-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNKEUN CHOI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "CHUNKEUN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "707-480-8867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56902",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Samuel Chua, M.D.
• Maria Theresa Victa Chua, D.M.D.
• Ian Tso Chuang, M.D.
• Peter Pokai Chuang, MD
• Sonia Chuang, DPM
• Denise Marie Cifelli
• Giselle Cisneros
• Esther Cistone, MD
• City of Vallejo
• Bernd Claassen, MD

• Dental Clinic/Center in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.