Individual provider Active NPI

Alfred W Choi, D.D.S.

  • Dentist
  • North Fort Myers, FL
National Provider Identifier
1811167919
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11947 Issued in FL
Practice address
19001 N Tamiami TRL Ste 4
North Fort Myers, FL 33903-7306
Phone
(239) 731-8811
NPI assigned
Mar 4, 2008
Last updated
May 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11947 FL Primary

Addresses

Primary practice location

19001 N Tamiami TRL Ste 4
North Fort Myers, FL 33903-7306

Mailing address

1200 Country Club Dr Apt 4506
Largo, FL 33771-2181
Phone (727) 432-7231

Other practice location 1

14961 Sovereign Dr
Largo, FL 33774-4909
Phone (727) 432-7231

Other identifiers 1

IdentifierTypeStateIssuer
DN11947OtherFLBOARD OF DENTISTRY FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160126001194 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153624168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11947FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Dentist Past Accepting new patients
Coast Florida P.a. Dentist PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1811167919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 COUNTRY CLUB DR APT 4506",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712181",
            "telephone_number": "727-432-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 N TAMIAMI TRL STE 4",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037306",
            "telephone_number": "239-731-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14961 Sovereign Dr",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337744909",
            "country_code": "US",
            "telephone_number": "727-432-7231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "ALFRED",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "11947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF DENTISTRY FLORIDA",
            "identifier": "DN11947",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.