Active NPI
Seung Jae Choi, DDS
- Dentist
- Las Vegas, NV
National Provider Identifier
1932773850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02963200
- Practice address
- 3674 E Sunset Rd Ste 120
Las Vegas, NV 89120-7218 - Phone
- (702) 291-2031
- NPI assigned
- May 15, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02963200 | NJ | Primary |
Addresses
Primary practice location
3674 E Sunset Rd Ste 120
Las Vegas, NV 89120-7218
Mailing address
703 Main St
Omfs
Paterson, NJ 07503-2621
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 |
|---|---|---|---|
| 22DI02963200 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1932773850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"address_2": "OMFS",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3674 E SUNSET RD STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891207218",
"telephone_number": "702-291-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "SEUNG JAE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-15",
"last_updated": "2023-12-27",
"certification_date": "2023-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02963200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.