Jericho Orthodontics and Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

054937 Issued in NY

Legal business name

JERICHO ORTHODONTICS AND PEDIATRIC DENTISTRY

Practice address

325 N Broadway
Jericho, NY 11753-2015

Phone

(917) 657-3934

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

David Choi, DDS

Title

President

Phone

(917) 657-3934

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1992285357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SHERWOOD LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772511",
            "telephone_number": "917-657-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532015",
            "telephone_number": "917-657-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO ORTHODONTICS AND PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-657-3934",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "054937",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "9574651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoonjin Jee, LCSW, CASAC
• Mary Dale Jenkins, MD
• Michelle Ahn Jeong
• Jericho Fire District
• Jericho Nephrology PLLC
• Jericho Physical Therapy PC
• Jericho Ufsd
• Jericho Wellness LLC
• Shama Jiang
• Ying Jin

• Pediatric Dentistry in Jericho, NY
• Providers in Jericho, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.