Individual provider Active NPI

Angela Choi

  • Periodontics
  • Frederick, MD
National Provider Identifier
1801459466
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
17287 Issued in MD
Practice address
6550 Mercantile Dr E
Frederick, MD 21703-7655
Phone
(240) 651-5478
NPI assigned
Apr 19, 2019
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 17287 MD Primary
Periodontics 1223P0300X G1-0011470 DE

Addresses

Primary practice location

6550 Mercantile Dr E
Frederick, MD 21703-7655

Mailing address

6550 Mercantile Dr E
Frederick, MD 21703-7655
Phone (240) 651-5478

Other practice location 1

344 E Main St
Newark, DE 19711-7148
Phone (302) 737-5170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20190711002293 DE Order and Referring Only - DentistPractitioner - Dentist 1951636067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17287MDMDClinical Social Worker
G1-0011470DEMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1801459466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MERCANTILE DR E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037655",
            "telephone_number": "240-651-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MERCANTILE DR E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037655",
            "telephone_number": "240-651-5478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 E Main St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197117148",
            "country_code": "US",
            "telephone_number": "302-737-5170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "17287",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DE",
            "license": "G1-0011470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.