Jennifer Y Choi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50229 Issued in CA

Practice address

6600 Mercy CT
Ste 140
Fair Oaks, CA 95628-3198

Phone

(916) 961-6644

NPI assigned

May 23, 2005

Sex

Female

Sole proprietor

Yes

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 IL

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.

• JC Dental Care

  • Dentist
  • Chicago, IL
  • NPI 1740525260
  NPD (past) Authorized official
• Midwest Family Dental, LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1497027015
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1801899893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183624",
            "telephone_number": "773-267-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT",
            "address_2": "STE 140",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283198",
            "telephone_number": "916-961-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JENNIFER",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Dental Group
• Hugh Charles II, D.D.S.
• Kyle Jason Chaw, DDS
• Katherine Cherry, F.N.P.
• Tak Yee Chiu
• Ann Susan Cinnamon, LMFT
• Karla Cisneros
• Linda R Clark, MA, CNC
• Melodie M Clark
• Sean Clark, D.P.M.

• General Practice Dentistry in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.