Active NPI
Jeresia L Choice, DDS
- Pediatric Dentistry
- Orlando, FL
National Provider Identifier
1841587730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN18945
- Practice address
- 508 N Mills Ave
Orlando, FL 32803-5353 - Phone
- (407) 422-2617
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN18945 | FL | Primary |
Addresses
Primary practice location
508 N Mills Ave
Orlando, FL 32803-5353
Mailing address
508 N Mills Ave
Orlando, FL 32803-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008810400 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18945 | FL | MD | Pediatric Dentist |
Interoperability endpoints
- jchoice51233@direct.nemours.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1841587730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035353",
"telephone_number": "407-422-2617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOICE",
"first_name": "JERESIA",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN18945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008810400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.