Jae W. Choi DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

6704 Issued in OK

Legal business name

JAE W. CHOI DDS PLLC

Doing business as

Mcloud Dental Center

Practice address

806 S 8TH St
McLoud, OK 74851-8628

Phone

(405) 395-2020

Fax

(405) 395-2608

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jae Woo Choi, D.D.S

Title

Owner/Dentist

Phone

(405) 314-0449

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mcloud Dental Center Doing business as

Locations

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1932651783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 S. 8TH ST.",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "74851",
            "telephone_number": "405-395-2020",
            "fax_number": "405-395-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S 8TH ST",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518628",
            "telephone_number": "405-395-2020",
            "fax_number": "405-395-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE W. CHOI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "WOO",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "405-314-0449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200551660A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200585480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mcloud Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harbans Singh Hans, MD
• Forrest Hardesty
• Nathan Heath Hobbs
• Rodney Mitchell Hutchins, D.D.S.
• Meredith Nicole Jacquemin, RN, IBCLC
• Jennifer Allen Therapy and Consultation LLC (Jatc)
• Carissa Trinette Jones, RN
• Kathryn Dean Jones, PHARM D
• Annelise Kampschaefer
• Keith a. Mehner, D.D.S.,P.L.L.C (McLoud Family Dentistry)

• Dentist in McLoud, OK
• Providers in McLoud, OK by specialty
• Dentist in Oklahoma

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

Verify at the official NPI Registry.