Individual provider Active NPI

Mark Yeong Hyun Choe, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Garland, TX
National Provider Identifier
1821628900
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
38093 Issued in TX
Practice address
3050 S 1St St Ste 233
Garland, TX 75041-3451
Phone
(972) 840-4200
NPI assigned
Jan 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DDS103136 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 38093 TX Primary

Addresses

Primary practice location

3050 S 1St St Ste 233
Garland, TX 75041-3451

Mailing address

1168 Parkstone Dr
Aubrey, TX 76227-1807

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MARKCHOE@USC.EDU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS103136CAMDOrthodontics and Dentofacial Orthopedic Dentist
38093TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1821628900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 PARKSTONE DR",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762271807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S 1ST ST STE 233",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413451",
            "telephone_number": "972-840-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "MARK",
        "middle_name": "YEONG HYUN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-17",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS103136",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "38093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MARKCHOE@USC.EDU",
            "affiliation": "N",
            "address_1": "14880 Whittier Blvd",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906051727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.