Active NPI
Han Choi, DDS
- Dentist
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10108
- Practice address
- 20542 N. Lake Pleasant Rd. #113
Peoria, AZ 85382 - Phone
- (602) 884-8238
- Fax
- (602) 865-1988
- NPI assigned
- Jul 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28175 | TX | |
| Dentist | 122300000X | 10108 | AZ | Primary |
Addresses
Primary practice location
20542 N. Lake Pleasant Rd. #113
Peoria, AZ 85382
Mailing address
20542 N. Lake Pleasant Rd. #113
Peoria, AZ 85382
Phone (602) 884-8238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10108 | AZ | MD | Dentist |
| 28175 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HC DDS PC | Current | Accepting new patients | |
| TS Dental Management LLC | Dentist | Current | Accepting new patients |
| Ray Road Dmso LLC | Current | Accepting new patients | |
| Han Choi DDS PLLC | Current | Accepting new patients | |
| Familia Dental Lubbock PLLC | General Practice | Past | Accepting new patients |
Locations
2900 W Ray Rd
Ste 3
Chandler, AZ 85224
Phone (480) 393-0687
20542 N Lake Pleasant Rd
Ste 113
Peoria, AZ 85382
Phone (602) 884-8238
4530 E Ray Rd
Ste 170
Phoenix, AZ 85044
Phone (480) 477-3090
512 E Southern Ave
Ste 101
Tempe, AZ 85282
Phone (908) 783-2311
Organizations & group practices 5
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.
-
- Dental Clinic/Center
- Peoria, AZ
- NPI 1942899836
-
- Oral and Maxillofacial Surgery (Dentist)
- Tempe, AZ
- NPI 1588492706
-
- Dental Clinic/Center
- Chandler, AZ
- NPI 1700245974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1891040028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20542 N. LAKE PLEASANT RD. #113",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85382",
"telephone_number": "602-884-8238",
"fax_number": "602-865-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20542 N. LAKE PLEASANT RD. #113",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85382",
"telephone_number": "602-884-8238",
"fax_number": "602-865-1988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "HAN",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-13",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28175",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "10108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.