Organization Active NPI

Chunkeun Choi DDS Inc

  • Dental Clinic/Center
  • Vacaville, CA
National Provider Identifier
1821414095
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHUNKEUN CHOI DDS INC
Practice address
72 Peabody Rd
Vacaville, CA 95687-4727
Phone
(707) 450-0732
NPI assigned
Mar 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 56902 CA
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

72 Peabody Rd
Vacaville, CA 95687-4727

Mailing address

72 Peabody Rd
Vacaville, CA 95687-4727
Phone (707) 450-0732

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1821414095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PEABODY RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874727",
            "telephone_number": "707-450-0732",
            "fax_number": "707-450-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PEABODY RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874727",
            "telephone_number": "707-450-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNKEUN CHOI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "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": []
}

Other providers in Vacaville, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.